Wergeland Håkon, Alagic Edin, Løkvik Bjarne
Kyinnesenteret Ullevål universitetssykehus 0407 Oslo.
Tidsskr Nor Laegeforen. 2002 Feb 10;122(4):370-2.
Serious postpartum haemorrhage occurs in approximately 1.4% of all deliveries in Norway and may result in hysterectomy. Stepwise devascularisation and hysterectomy are technically difficult and time consuming. A simple suture technique, B-Lynch suture, has recently been introduced, by which atonic postpartum haemorrhage may be controlled and hysterectomy avoided.
MATERIAL, METHODS AND RESULTS: We have used the B-Lynch technique in five patients with serious postpartum uterine atonia and haemorrhage. In all patients serious bleeding and hysterectomy were avoided. Three of the patients are described in detail, one with failed induction of labour resulting in Caesarean section, one with placenta previa, and one with prolonged normal vaginal delivery.
If performed early, the B-Lynch suture technique is less mutilating to the woman; it may prevent excessive blood loss and is probably beneficial for the patient's future fertility. It is easy to perform in Caesarean sections and can be adopted in vaginal deliveries.
在挪威，约1.4%的分娩会发生严重产后出血，这可能导致子宫切除。逐步血管结扎术和子宫切除术在技术上难度大且耗时。最近引入了一种简单的缝合技术——B-Lynch缝合术，通过该技术可控制宫缩乏力性产后出血并避免子宫切除。
材料、方法与结果：我们对5例严重产后子宫收缩乏力和出血的患者采用了B-Lynch技术。所有患者均避免了严重出血和子宫切除。详细描述了其中3例患者，1例引产失败行剖宫产，1例前置胎盘，1例正常阴道分娩时间延长。
如果早期实施，B-Lynch缝合术对女性的损伤较小；它可以防止失血过多，可能对患者未来的生育有益。在剖宫产中易于操作，也可应用于阴道分娩。
