Clinical Efficacy Of Cesarean Section Using B-Lynch Suture Surgery

Objective:To investigate clinical value and prognosis after using B-Lynch suture during cesarean section.Methods:Taken 36 cases which was underwent B-Lynch during CS to stop bleeding successful,in Anqing Hospital affiliate to Anhui Medical University, from Janury 2007 to December 2013,the control group of women was randomly selected in the same period in this hospital,comparison postoperative Elu, menstruation, ovarian endocrine function of the indicators and their subsequent pregnancy and so on of the two groups,the experimental group and the control group were all not breastfeeding after postpartum.Results:The experimental group patients lochia duration is(35.73±3.64) days, the recovery time for the first period is(114.67 ± 11.86) days, the first menstrual flow(the amount of increase in the prenatal period multiples of measurement) is(1.30 ± 0.54), the number needed to restore normal menstrual flow is(2.02 ± 0.78) times, postpartum menstrual cycle is(33.10 ± 2.57) days,the control group patients after lochia duration is(33.41±3.56) days, the first menstrual recovery time is(110.48 ± 10.88) days, the first menstrual flow(the amount of increase in the prenatal period multiples of measurement) is(1.19 ± 0.30), the number needed to restore normal menstrual flow is(2.42 ± 0.84) times, the postpartum menstrual cycle is(31.05 ± 1.42) days;The first experimental groups blood tests for FSH average is(5.32 ± 1.75) U / L, the average of LH is(6.22 ± 2.35) U / L, the average of E2 is(260.87 ± 11.01) U / L, The control groups blood tests for FSH average is(6.22 ± 2.35)U / L, the average of LH is(6.67 ± 2.43)U / L, the average of E2 is(253.17 ± 11.72)U/ L,compared to the difference between the two groups was not significant(P> 0.05);the experimental group were underwent transvaginal color Doppler ultrasound examination after a year,determined the left uterine artery occlusion index(RI) with an average of(0.81 ± 0.24), the right uterine artery occlusion index(RI) with an average of(0.78 ± 0.16), the left side of the peak systolic and end diastolic velocity ratio(S / D) with an average of(10.67 ± 2.93), the right of systolic and diastolic velocity ratio(S / D) averages was(11.41 ± 5.08);the control group were underwent transvaginal color Doppler ultrasound examination after a year,determined the left uterine artery occlusion index(RI) with an average of(0.80±0.13), the right uterine artery occlusion index(RI) with an average of(0.78±0.16), the left side of the peak systolic and end diastolic velocity ratio(S / D) with an average of(12.38±3.10), the right of systolic and diastolic velocity ratio(S / D) averages was(12.02±4.72);two groups showed no significant(P> 0.05).Conclusion:The B-Lynch suture in the treatment of postpartum hemorrhage during cesarean section can effectively stop the bleeding, and easy to operate, rapid hemostasis lasting advantages, reducing the amount of postpartum hemorrhage, retained the uterus, no serious complications and comorbidities occurrence of lochia and menstruation postoperative recovery, no significant effect on ovarian function after surgery to have a better pregnancy rate, suitable for clinical use.