PDF(Pubmed)
Abstract：
UNASSIGNED: International Federation of Gynecology and Obstetrics (FIGO) and WHO report the incidence of postpartum haemorrhage (PPH) reaches 1-10% and contributes to an increase in postpartum maternal mortality with uterine atony as the most common cause. B-Lynch method is a suturing technique to overcome PPH. Although this method has proven useful as an emergency life-saving measure, the post-procedure complications are still able to occur.
UNASSIGNED: The patient was not menstruating for 14 months after giving birth through caesarean section with B-Lynch due to PPH. Before pregnancy, she had regular menstruation cycle and normal menstrual duration. Her general and gynaecological status were normal. Ultrasound showed the impression of uterine hypoplasia and endometrium that were difficult to assess while both ovaries were normal. Diagnostic hysteroscopy showed a severe degree of Asherman\'s syndrome. The results of FSH, LH and estradiol were normal.
UNASSIGNED: B-lynch suture is performed as a method to stop PPH in uterine atony. Secondary amenorrhoea occurs as a complication of B-lynch. Compression action of B-lynch can cause progressive myometrium necrosis resulting in synechiae and blockade of uterine blood flow. This will interfere with the development of the uterus. Intrauterine adhesions and amenorrhoea with normal levels of FSH, LH, and estradiol support the diagnosis of Asherman\'s syndrome.
UNASSIGNED: This case shows that the B-Lynch procedure, which is the worldwide recommended method for treating postpartum haemorrhage due to its high success rate, can cause complications of Asherman\'s syndrome and cause secondary amenorrhoea.
UNASSIGNED: The patient was not menstruating for 14 months after giving birth through caesarean section with B-Lynch due to PPH. Before pregnancy, she had regular menstruation cycle and normal menstrual duration. Her general and gynaecological status were normal. Ultrasound showed the impression of uterine hypoplasia and endometrium that were difficult to assess while both ovaries were normal. Diagnostic hysteroscopy showed a severe degree of Asherman\'s syndrome. The results of FSH, LH and estradiol were normal.
UNASSIGNED: B-lynch suture is performed as a method to stop PPH in uterine atony. Secondary amenorrhoea occurs as a complication of B-lynch. Compression action of B-lynch can cause progressive myometrium necrosis resulting in synechiae and blockade of uterine blood flow. This will interfere with the development of the uterus. Intrauterine adhesions and amenorrhoea with normal levels of FSH, LH, and estradiol support the diagnosis of Asherman\'s syndrome.
UNASSIGNED: This case shows that the B-Lynch procedure, which is the worldwide recommended method for treating postpartum haemorrhage due to its high success rate, can cause complications of Asherman\'s syndrome and cause secondary amenorrhoea.
摘要：
■国际妇产科联合会（FIGO）和世卫组织报告，产后出血（PPH）的发生率达到1-10％，并导致产后产妇死亡率增加，其中子宫收缩是最常见的原因。B-Lynch方法是一种克服PPH的缝合技术。尽管这种方法已被证明是一种有用的紧急救生措施，术后并发症仍然可以发生。
■患者因PPH通过B-Lynch剖腹产后14个月没有月经。怀孕前,她有规律的月经周期和正常的月经持续时间。她的一般和妇科状况正常。超声显示子宫发育不全和子宫内膜的印象，难以评估，而两个卵巢均正常。诊断性宫腔镜检查显示严重程度的Asherman综合征。FSH的结果，LH和雌二醇正常。
■B-lynch缝合是一种在子宫收缩乏力中停止PPH的方法。继发性闭经是B-lynch的并发症。B-lynch的压迫作用可导致进行性子宫肌层坏死，导致粘连和子宫血流阻塞。这将干扰子宫的发育。宫腔粘连和闭经，FSH水平正常，LH,和雌二醇支持Asherman综合征的诊断。
■这种情况表明B-Lynch程序，这是全球推荐的治疗产后出血的方法，由于其高成功率，可引起Asherman综合征的并发症和继发性闭经。
■患者因PPH通过B-Lynch剖腹产后14个月没有月经。怀孕前,她有规律的月经周期和正常的月经持续时间。她的一般和妇科状况正常。超声显示子宫发育不全和子宫内膜的印象，难以评估，而两个卵巢均正常。诊断性宫腔镜检查显示严重程度的Asherman综合征。FSH的结果，LH和雌二醇正常。
■B-lynch缝合是一种在子宫收缩乏力中停止PPH的方法。继发性闭经是B-lynch的并发症。B-lynch的压迫作用可导致进行性子宫肌层坏死，导致粘连和子宫血流阻塞。这将干扰子宫的发育。宫腔粘连和闭经，FSH水平正常，LH,和雌二醇支持Asherman综合征的诊断。
■这种情况表明B-Lynch程序，这是全球推荐的治疗产后出血的方法，由于其高成功率，可引起Asherman综合征的并发症和继发性闭经。
