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Abstract To explore the effect of uterine strap suture (uterine B-lynch suture) or uterine artery ascending branch ligation for treating women with postpartum hemorrhage (PPH). Methods:The clinical data of 92 women with PPH from October 2016 to October 2020 were analyzed retrospectively. These women were divided into group A (46 women with uterine B-lynch suture) and group B (46 women with uterine artery ascending branch ligation). The hemostatic efficacy, the perioperative indicators, such as the intraoperative blood loss, the blood loss in 24h after surgery, the blood transfusion volume, the surgical time, and the hospital stay time, the postoperative prognosis status, such as puerperalism, incomplete elimination of lochia, incision infection, intrauterine adhesions, adverse uterine involution, and other complications, and the ovarian function indexes, such as anti-Müllerian hormone (AMH), estrogen (E2), luteinizing hormone (LH), and follicle stimulating hormone (FSH) before surgery and in 1 week after surgery, of the women were compared between the two groups. Results: There were no significant differences in the total effective rate of hemostasis (95.7% vs. 93.5%), the intraoperative blood loss (1554.6±281.7 ml vs.1568.6±287.2 ml), the blood loss in postoperative 24h (225.6±55.6 ml vs.236.2±61.1 ml), the blood transfusion volume (1215.3±129.2ml vs.1239.6±118.7ml), the operation time (58.6±9.1min vs.60.8±9.2min), the hospital stay time (7.3±2.1d vs.8.1±2.3d), the incidence of puerperal disease (13.0% vs.15.2%), the rate of incomplete elimination of lochia (6.5% vs.4.0%), the rate of incision infection (2.2% vs.4.4%), the rate of intrauterine adhesion (0 vs.4.4%), and the rate of adverse uterine involution (82.6% vs.87.0%) of the women between the two groups (all P＞0.05). The serum AMH and E2 levels of the women in the two groups in 1 week after surgery had increased compared with those before surgery operation, while the LH and FSH levels of the women in the two groups had decreased (all P<0.05), but which of the women had no significant difference between the two groups (P＞0.05). Conclusion: Uterine B-Lynch suture for treating the women with PPH can achieve the same hemostatic effect as that of uterine artery ascending branch ligation. Both uterine B-Lynch suture and uterine artery ascending branch ligation will not increase the complications, and has good postoperative ovarian function recovery.
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