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首页> 外文期刊>Journal of Clinical and Diagnostic Research >B-Lynch: A Technique for Uterine Conservation or Deformation?A Case Report with Literature Review
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B-Lynch: A Technique for Uterine Conservation or Deformation?A Case Report with Literature Review

机译：B-Lynch：一种保护或变形子宫的技术？附文献综述的病例报告

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摘要

Postpartum haemorrhage is a leading cause of global maternal mortality and morbidity, accounting for 25-30% of all maternal deaths, and 75-90% of these casualties result from uterine atony. Uterine compressive sutures are a well established measure for control of haemorrhage following atonic postpartum haemorrhage, when medical and nonmedical interventions fail. Here, we are reporting a case of secondary infertility in a 24-year-old lady who had undergone an elective caesarean section for central placenta previa in her first pregnancy. She had massive postpartum haemorrhage, for which B-Lynch suture and vessel ligation were done. Subsequently, she failed to conceive for 4 years. This was because of severe pelvic adhesions and uterine deformation which were found intraoperatively, as a consequence of previous use of B-Lynch suture. As no definitive treatment could be offered to her, we suggested her to go for adoption.
机译：产后出血是全球孕产妇死亡和发病的主要原因，占所有孕产妇死亡的25-30％，其中75-90％的伤亡是由子宫收缩乏力引起的。当医学和非医学干预均告失败时，子宫压缩缝合线是控制产后无瓣膜出血后出血的一种行之有效的措施。在此，我们报道了一名24岁女士继发不孕的情况，该女士在她的第一次妊娠中因前置前置胎盘进行了剖腹产手术。她有大量的产后出血，为此做了B-Lynch缝合线和血管结扎术。随后，她怀孕了4年。这是由于术前发现严重的骨盆粘连和子宫变形，这是以前使用B-Lynch缝合的结果。由于无法为她提供确定的治疗，因此我们建议她接受收养。

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