2种方法治疗难治性产后出血的疗效比较  

Two methods was applied to compare effect of treatment of intractable postpartum hemorrhage

作　　者：王登兰[1] 闫泓霖[1] 冯凯娣 

机构地区：[1]新疆医科大学第二附属医院产科,乌鲁木齐830063 [2]新疆维吾尔自治区妇幼保健院产科,乌鲁木齐830002

出　　处：《新疆医科大学学报》2016年第9期1111-1114,共4页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区自然科学基金(2015211C104)

摘　　要：目的对比单纯运用子宫动脉结扎术与宫腔Bakri球囊填塞术联合子宫动脉结扎术治疗难治性产后出血的临床疗效。方法选取2013年1月-2015年12月在新疆医科大学第二附属医院和新疆维吾尔自治区妇幼保健院产科实施剖宫产手术并在手术中发生难治性产后出血的产妇70例,其中单用子宫动脉结扎术者35例(结扎组),宫腔Bakri球囊填塞术联合子宫动脉结扎术治疗者35例(填塞与结扎联用组),对比两组患者的临床治疗效果。结果两组患者在剖宫产术中出血量和产褥病例数差异无统计学意义(P>0.05),填塞与结扎术联用组术后2h与24h出血量明显少于结扎组,子宫切除病例数明显低于结扎组,差异有统计学意义(P<0.05)。结扎组产妇有效27例(77.1%),无效8例(22.9%),而填塞与结扎联用组有效34例(97.14%),无效1例(2.86%),差异均有统计学意义。结论宫腔Bakri球囊填塞术联合子宫动脉结扎术治疗难治性产后出血的治疗效果及保留产妇子宫和生育功能明显优于单纯应用结扎术,可在临床实践中推广使用。Abstrct：Objective Compared the clinical treatment effect between uterine artery ligation operation and uterine Bakri balloon tamponade combined uterine artery ligation operation of intractable postpartum hemorrhage.Methods 70 cases of refractory postpartum hemorrhage were selected.All of the cases were hospitalized in obstetrics of The Second Affiliated Hospital of Xinjiang Medical University and the maternal and child care service centre of the xinjiang uygur autonomous region from January 2013 to December 2015,35 cases of uterine artery ligation（ligation group）,other 35 cases treateded by intrauterine Bakri balloon tamponade technique combined uterine artery ligation therapy,and the clinical treatment effect of two groups were compared.Results The amount of bleeding in cesarean section and number of puerperal cases of two groups were no statistically significant difference（P〉0.05）,while 2h,24 hblood loss in the group of tamponade combined ligation was obviously less than that in ligation groupand the number of cases of hysterectomy was lower than that in group ligation,and the differences were statistically significant（P 0.05）.27 cases of ligation group effect（77.1%）,8cases（22.9%）invalid,34 cases of tamponade combined ligation group effect（77.1%）,only 1case（2.86%）invalid,the differences between the two groups had statistical significance（P〈0.05）.Conclusion The effect of uterine packing combine with uterine areries ligation in refractory postpartum hemorrhage is remarkable.This treatment is significant better than ligation operation in treatment effect,maternal uterus and fertility function,which should be promoted.

关 键 词：宫腔Bakri球囊填塞术 子宫动脉结扎 难治性产后出血 剖宫产术 

分 类 号：R714.46[医药卫生—妇产科学]