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| Effect of uterine B-Lynch suture combined with carboprost tromethamine for treating women with postpartum hemorrhage caused by uterine inertia during cesarean section |
| Jianyang People's Hospital, Jianyang, Sichuan Province, 641499 |
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Abstract To explore the application effect of uterine B-Lynch suture combined with carboprost tromethamine for treating women with postpartum hemorrhage caused by uterine inertia during cesarean section. Methods: The clinical data of 95 women with postpartum hemorrhage caused by uterine inertia during cesarean section were analyzed retrospectively. Among them, 49 women in observation group were treated with uterine B-Lynch suture combined with carboprost tromethamine, and another 46 women in control group were given uterine artery ligation combined with carboprost tromethamine. The clinical efficacy, surgical time, perioperative blood loss, and occurrence of postoperative complications of the women in the two groups were recorded. The postoperative uterine recovery and uterine artery blood flow when discharge, such as resistance index(RI) and systolic-to-diastolic velocity ratio(S/D), of the women with effective treatment were compared between the two groups. Results: The clinical efficacy(98.0%) of the women in the observation group was significant higher than that(82.6%) of the women in the control group, the duration of operation(169.4±18.4min) of the women in the observation group was significant less than that(204.2±21.4min) of the women in the control group, and the perioperative blood loss of the women in the observation group was significant lower than that of the women in the control group(P<0.05). There were no significant differences in postoperative complications(8.2% vs. 17.4%), duration of lochia rubra, time of menstruation recovery after delivery, and the first menstrual volume of menstruation recovery of the women between the two groups. The values of RI and S/D of the women with effectiveness had no significant different between the left and the right uterine artery(all P>0.05). Conclusion: Carboprost tromethamine combined with uterine B-Lynch suture for treating women with postpartum hemorrhage caused by uterine inertia during cesarean section can quickly and effectively hemostasis, and which has little adverse effect on their uterine blood supply with good safety.
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