Tsitlakidis C, Alalade A, Danso D, B-Lynch C
Department of Obstetrics and Gynecology, Milton Keynes General Hospital, Oxford Deanery, Milton Keynes, United Kingdom.
Int J Fertil Womens Med. 2006 Nov-Dec;51(6):262-5.
The B-Lynch surgical technique for the management of massive postpartum hemorrhage (PPH) has been used successfully since 1989 in cases where bleeding was secondary to uterine atony with failed conservative management. It allows for conservation of the uterus for subsequent menstrual function and pregnancies. In this report, we present a follow up of a case with successful pregnancy ten years after PPH was managed with the B-Lynch uterine compression suture to demonstrate the long-term anatomical consequences of this operation. This case represents the longest follow up after the application of the B-Lynch suture (brace suture) technique for the control of massive PPH as an alternative to hysterectomy. Published data have confirmed that on the balance of probability, the B-Lynch surgical technique is safe, effective and free of short- and long-term complication.
自1989年以来，B-Lynch手术技术一直成功用于治疗因子宫收缩乏力且保守治疗失败而导致的大量产后出血（PPH）。该技术可保留子宫，使其具备后续的月经功能和妊娠能力。在本报告中，我们对一例采用B-Lynch子宫压迫缝合术治疗PPH十年后成功妊娠的病例进行了随访，以展示该手术的长期解剖学影响。此病例是应用B-Lynch缝合术（支撑缝合术）控制大量PPH以替代子宫切除术之后随访时间最长的案例。已发表的数据证实，从可能性的权衡来看，B-Lynch手术技术安全、有效，且无短期和长期并发症。
