Clinical observation of Aiyou balloon combined with modified B-Lynch suture in the treatment of intractable postpartum hemorrhage / 中华内分泌外科杂志

ABSTRACT

Objective:To study the effect of Aiyou balloon combined with modified B-Lynch suture in the treatment of intractable postpartum hemorrhage (IPH) .Methods:Sixty-two patients with IPH in Wuxi maternal and Child Health Hospital from Feb. 2017 to Feb. 2022 were randomly divided into control group and observation group, with 31 cases in each group. The control group was treated with modified B-Lynch suture, and the observation group was treated with Aiyou balloon combined with modified B-Lynch suture. The operation conditions (operation time, intraoperative bleeding, 24 h postoperative bleeding and blood transfusion) of the two groups were compared, the hemostatic effect and coagulation function [prothrombin time (PT) , activated partial thromboplastin time (APTT) , thrombin time (TT) and fibrinogen (FIB) ] of the two groups were compared, and the complications one month after operation were counted.Results:There was no significant difference in operation time between the two groups ( P > 0.05) . The amount of intraoperative bleeding (851.26±81.25) mL, 24 h postoperative bleeding (142.37±24.89) mL and blood transfusion (1.57±0.39) U in the observation group were lower than those in the control group (1089.47±100.39) mL, (312.58±36.25) mL, (2.48±0.43) U ( P < 0.05) . The grade distribution of hemostatic effect in the observation group was better than that in the control group ( P < 0.05) . At 24 hours postpartum, Pt, APTT and TT were prolonged and FIB decreased in both groups ( P < 0.05) . Pt (13.55±1.42) s, APTT (37.58±4.18) s and TT (16.89±1.57) s in the observation group were shorter than those in the control group (14.78±1.63) s, (40.74±4.32) s, (18.95±1.81) s at 24 hours postpartum, and FIB (1.89±0.32) g/L was greater than those in the control group (1.71±0.28) g/L ( P < 0.05) . The incidence of complications in the observation group was 3.23% lower than 22.58% in the control group ( P < 0.05) . Conclusion:Aiyou balloon combined with modified B-Lynch suture in the treatment of IPH can reduce the amount of bleeding and blood transfusion, improve the hemostatic effect, improve the coagulation function and reduce the incidence of complications.