Surgical Treatment of 108 Cases of Refractory Postpartum Hemorrhage

Guang-qiong YANG; Cui MA; Run-mei MA; Bing BAI; Yan-ling LV; Xiang-yan YAN

doi:10.12259/j.issn.2095-610X.S20210219

Volume 42 Issue 2

Mar. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(2): 103-107

Guang-qiong YANG, Cui MA, Run-mei MA, Bing BAI, Yan-ling LV, Xiang-yan YAN. Surgical Treatment of 108 Cases of Refractory Postpartum Hemorrhage[J]. Journal of Kunming Medical University, 2021, 42(2): 103-107. doi: 10.12259/j.issn.2095-610X.S20210219

Citation:

Guang-qiong YANG, Cui MA, Run-mei MA, Bing BAI, Yan-ling LV, Xiang-yan YAN. Surgical Treatment of 108 Cases of Refractory Postpartum Hemorrhage[J]. Journal of Kunming Medical University, 2021, 42(2): 103-107. doi: 10.12259/j.issn.2095-610X.S20210219

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Surgical Treatment of 108 Cases of Refractory Postpartum Hemorrhage

doi: 10.12259/j.issn.2095-610X.S20210219

1.
The First Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032
2.
The First People’s Hospital of Zhaotong，Zhaotong Yunnan 657000，China

Received Date: 2020-12-02
Publish Date: 2021-03-05

Abstract

Abstract

Objective To explore the clinical value of B-lynch suture combined with intrauterine gauze packing in the treatment of refractory postpartum hemorrhage in hospitals in underdeveloped areas. Methods A comparative study was conducted on 108 cases of refractory postpartum hemorrhage admitted by the first people's hospital of zhaotong city from May 2015 to October 2017. The treatment regimen was used as a basis for grouping, 108 cases were divided into: （A） 58 cases of B-lynch suture plus intrauterine gauze packing, and （B） 50 cases of other treatment groups. The operation time, blood loss, amount of blood transfusion, length of hospital stay, hemostatic effect, uterine retention and complications were compared. Results The intraoperative blood loss and blood transfusion amount in group A were significantly lower than that in group B, and the operation time was longer than that in group B, and the difference between the two groups was statistically significant （P < 0.05）. All the 58 cases in group A were effective in hemostasis, accounting for 100%, without hysterectomy and serious postoperative complications. In group B, 43 patients were effective in hemostasis, accounting for 86%, and 7 patients were treated with hysterectomy for secondary uterine weakness and bleeding again, accounting for 14%, without serious postoperative complications. Hemostasis in both group A and group B was significantly effective. The effective hemostasis rate of group A was higher than that of group B, while the uterine excision rate was lower than that of group B. There was significant difference between the two groups （P < 0.05）, showing statistical significance. Conclusions B-lynch suture plus intrauterine gauze packing is not only simple and effective in operation, quick and effective in hemostasis, but also can keep the uterus as far as possible. It is an effective measure to treat refractory postpartum hemorrhage in hospitals in underdeveloped areas, and is worthy of popularization and application.
- Refractory postpartum hemorrhage,
- B-lynch suture,
- Intrauterine gauze packing

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References(22)

References

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