Bakri球囊填塞术治疗瘢痕子宫二次剖宫产术产后出血的临床效果分析  

Clinical Effect Analysis of Bakri Balloon in the Treatment of Postpartum Hemorrhage for Patients with Scar Uterus Second Time Cesarean Section

作　　者：罗智菊 刁永强 张映平 何静 

机构地区：[1]广东省兴宁市人民医院,广东兴宁514500

出　　处：《中国医学创新》2016年第21期101-103,共3页Medical Innovation of China

基　　金：广东省医学科研基金青年项目(D201374586)

摘　　要：目的:探讨Bakri球囊填塞术治疗瘢痕子宫二次剖宫产术产后出血的临床效果。方法:选取2013年10月-2015年10月本院收治的瘢痕子宫分娩患者(剖宫产术中出血大于1000 m L)54例作为研究对象,根据是否应用Bakri球囊止血分为应用Bakri球囊组(A组)和未应用Bakri球囊组(B组),每组27例。比较两组产后出血原因、产后出血量、术前术后血红蛋白水平及手术相关资料。结果:A组术后血红蛋白水平高于B组,术后住院时间短于B组,差异均有统计学意义(P<0.05)。结论:Bakri球囊放置操作简便,可有效治疗因瘢痕子宫行剖宫产术发生的产后出血,降低子宫切除率。Objective：To investigate the clinical effect of Bakri balloon in the treatment of postpartum hemorrhage for patients with scar uterus second time cesarean section.Method：From October 2013 to October 2015,54 cases of scar uterus second time cesarean section that intraoperative bleeding greater than 1000 m L in our hospital were selected as the research objects,they were divided into the application of Bakri balloon group（group A） and non application of Bakri balloon group（group B） according to whether application of Bakri balloon hemostasis,each group had 27 cases.The causes of postpartum hemorrhage,the amount of postpartum hemorrhage,preoperative and postoperative hemoglobin level and operation related data of two groups were compared.Result：The postoperative hemoglobin level of group A was higher than that of group B,and the postoperative hospital stay was lower than that of group B,the differences were statistically significant（P〈0.05）.Conclusion：The placement of Bakri balloon is convenient and effective in treating postpartum hemorrhage of patients with second time cesarean section,which can significantly reduce the rate of hysterectomy.

关 键 词：Bakri球囊 二次剖宫产 产后出血 

分 类 号：R719.8[医药卫生—妇产科学]