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| Analysis of the Clinical Effect of Uterine Balloon Tamponade and B-Lynch Suture in Postpartum Hemorrhage Caused by Uterine Inertia |
| ZHU Wenjing, QI Yalan, LIANG Shenglian, YING Xiaoyan |
| The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210000, China |
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Abstract Objective: To compare the clinical effects of uterine balloon tamponade and B-Lynch suture in the treatment of postpartum hemorrhage caused by uterine intertia during cesarean section. Method: A retrospective analysis was performed on 120 patients with postpartum hemorrhage caused by uterine inertia during caesarean section in Nanjing Drum Tower Hospital Group Suqian Hospital from January 2015 to December 2021. The data of patients were collected and analyzed, uterine balloon tamponade hemostasis was performed in 53 cases (balloon tamponade group) and B-Lynch suture hemostasis in 67 cases (B-Lynch suture group). The therapeutic effects of the two methods were compared. Result: The operative time, intraoperative blood loss, postoperative 2 h blood loss and the amount of erythrocyte transfusion suspension in balloon tamponade group were all lower than those in B-Lynch suture group, with statistical significance (P<0.05). There were no statistical significance in the amount of plasma and cryoprecipitation transfusion between two groups (P>0.05). The total hemostatic efficiency was 98.1% (52/53) in the balloon tamponade group, compared to 89.6% (60/67) in the B-Lynch suture group, with a statistically significant difference (P<0.05). There was no hysterectomy in either group. Six months after operation, the two groups had no statistically significant difference in sexual satisfaction (P>0.05). The sex life quality score in the balloon tamponade group was higher than in the B-Lynch suture group, with statistically significant differences (P<0.05). Conclusion: Compared with B-Lynch suture in the treatment of postpartum hemorrhage caused by uterine inertia, uterine balloon tamponade has the advantages of higher success rate of hemostasis, shorter operation time and less injury, and it can improve the sexual life quality of patients.
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Received: 08 February 2023
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