国际妇产科学杂志

国际妇产科学杂志 ›› 2017, Vol. 44 ›› Issue (6): 629-632.

• 论著 • 上一篇    下一篇

Bakri球囊填塞与子宫压迫缝合术治疗中央性前置胎盘产后出血的疗效评价

孟珍妮，全思洁，黄一颖，应豪   

  1. 200040  上海，同济大学附属第一妇婴保健院产科
  • 收稿日期:2017-08-10 修回日期:2017-11-29 出版日期:2017-12-15 发布日期:2017-12-15
  • 通讯作者: 黄一颖，E-mail：huangyiying2013@163.com E-mail:huangyiying2013@163.com;jameshua0072003@yahoo.com.cn
  • 基金资助:
    国家自然科学基金面上项目（81771600），上海市2017年度“科技创新行动计划”临床医学领域项目（17411950600），2017年新兴前沿项目（SHDC12017120），上海市卫生计生委面上项目（201740109），浦车新区卫生系统重点学科群建设资助项目（PWZxq2014-02）

Efficacy Evaluation of Bakri Balloon Tamponade and Uterine Compression Suture in Treatment of Postpartum Hemorrhage for Complete Placenta Previa during Cesarean Section

MENG Zhen-ni，QUAN Si-jie，HUANG Yi -ying，YING Hao   

  1. Department of Obstetrics，Shanghai First Maternity and Infant Hospital，Tongji University，School of Medicine，Shanghai 200040，China
  • Received:2017-08-10 Revised:2017-11-29 Published:2017-12-15 Online:2017-12-15
  • Contact: HUANG Yi -ying，E-mail：huangyiying2013@163.com E-mail:huangyiying2013@163.com;jameshua0072003@yahoo.com.cn

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摘要： 目的：比较Bakri 球囊填塞与子宫压迫缝合术在剖宫产时治疗中央性前置胎盘产后出血的疗效。方法：回顾性分析93例中央性前置胎盘，按剖宫产术中不同的手术止血方法分为2组，宫腔Bakri 球囊填塞法止血组（Bakri 组）32 例，子宫压迫缝合术止血组  （UCS组）61例。观察2组治疗效果。结果：Bakri 组的手术时间、术中出血量均少于UCS组，差异有统计学意义（Ｐ＜０．０５）。ＵCS组失败的2 例均行全子宫切除术，Bakri组失败的1 例用子宫压迫缝合术而成功保留子宫。结论：Bakri 球囊填塞是一种可选择的治疗剖宫产术时中央性前置胎盘产后出血的有效方法。
   

关键词: Bakri 球囊, 子宫压迫缝合术, 中央性前置胎盘, 产后出血

Abstract: Objective：To investigate the efficacy of Bakri balloon tamponade and uterine compression suture (UCS) in treating postpartum hemorrhage for complete placenta previa during cesarean section. Methods：A retrospective study of 93 patients divided into two groups based on different hemostasis: the Bakri balloon tamponade group (n=32) and the uterine compression suture group (n=61). Treatment effects were observed. Results：The operation time for intrauterine Bakri balloon tamponade was significant shorter than the UCS group (P＜0.05). Blood loss in the Bakri group was significant lower than the UCS group during the cesarean delivery (P＜0.05). 2 cases in the UCS group were failed and required hysterectomy, and 1 case in the Bakri group with uterine compression suture avoided a subsequent hysterectomy. Conclusions：Bakri balloon tamponade is an effective way to control postpartum hemorrhage due to complete placenta previa during cesarean section.

Key words: Bakri balloon, Uterine compression suture, Complete placenta previa, Postpartum hemorrhage