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| Curative effect comparison of three suture methods for treating postpartum hemorrhage |
| Chengdu Sixth People's Hospital, Chengdu, Sichuan Province, 610051 |
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Abstract To compare the clinical effect of B-lynch suture, Cho suture, and Hayman suture for treating postpartum hemorrhage of women. Methods: The clinical data of 139 women with postpartum hemorrhage from January 2017 to November 2021 were selected retrospectively. These women were divided into group A (42 cases with B-lynch suture for hemostasis), group B (46 cases with Cho suture for hemostasis), and group C (51 cases with Hayman suture for hemostasis) according to the different suture method. The hemostatic effect, the perioperative indicators values, the incidence of complications, the recovery of uterine artery blood flow and ovarian function in the 12th month after operation of the women in the two groups were recorded. Results: The effective rate of postpartum hemorrhage treatment of the women in group A, in group B, and in group C were 83.3%, 97.8%, and 90.2%, respectively, and which of the women in group B was significantly higher than that of the women in group A. The operation time (62.2±9.5min) of the women in group C was significantly lower than that (73.5±11.7min) of the women in group B. The rate of uterine artery ligation (16.7%) of the women in group A was significantly higher than that (2.2%) of the women in group B. The incidence of complications in group A, in group B, and in group C were 9.5%, 17.4% and 11.8%, respectively, and which of the women in group B was significantly higher than that of the women in group A. The first menstrual recovery time (149.5±28.6d) of the women in group C was significantly lower than that (163.2± 31.1d) of the women in group B (all P＜0.05). After 12 months of follow-up, there were no significant differences in the values of RI and S/D of left and right uterine artery of the women among the three groups (P>0.05). Conclusion: The hemostatic effect of Cho suture for treating the postpartum hemorrhage of the women is better than that of B-lynch suture and that of Hayman suture, but which may increase the risk of complications and may prolong the recovery time of menstruation of the women. No any woman with adverse effects on their uterine artery blood supply and ovarian function in the long term after the three suture methods is observed.
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