宫腔球囊填塞与B-Lynch缝合治疗产后出血的临床对比  

Clinical Comparison of Intrauterine Balloon Packing and B-Lynch Suture for the Treatment of Postpartum Hemorrhage

作　　者：吴仕玉 WU Shiyu(Department of Obstetrics and Gynecology,Songxi County Hospital,Nanping 353500,China)

机构地区：[1]福建省松溪县医院妇产科

出　　处：《临床医学工程》2019年第10期1331-1332,共2页Clinical Medicine & Engineering

摘　　要：目的比较宫腔球囊填塞与B-Lynch缝合治疗产后出血(PPH)的临床疗效。方法选择2018年6月至2019年5月我院收治的82例PPH患者,随机均分为两组。对照组采用B-Lynch缝合术治疗,观察组采用宫腔球囊填塞术治疗。比较两组的临床指标、止血成功率及并发症。结果观察组的手术时间显著短于对照组,术中出血量、术后2 h出血量、术后24 h出血量及输血量均显著少于对照组(P<0.05)。两组的止血成功率、子宫复旧不全发生率、产后感染发生率相比,差异无统计学意义(P>0.05)。结论宫腔球囊填塞术治疗PPH患者的止血成功率高、并发症少,有利于缩短手术时间,减少出血量及输血量。Objective To compare the clinical efficacy of intrauterine balloon packing and B-Lynch suture for the treatment of postpartum hemorrhage(PPH).Methods 82 cases of PPH patients in our hospital from June 2018 to May 2019 were selected and randomly divided into two groups equally.The control group was treated with B-Lynch suture,and the observation group was treated with intrauterine balloon packing.The clinical indicators,successful rate of hemostasis and complications were compared between two groups.Results The operation time of observation group was shorter than that of control group,and the amount of intraoperative blood loss,2-hour postoperative blood loss,24-hour postoperative blood loss and blood transfusion were significantly lower than those of control group(P<0.05).No statistical difference was found between two groups in the successful rate of hemostasis and incidences of uterine involution and postpartum infection(P>0.05).Conclusions Intrauterine balloon packing for the treatment of PPH has high successful rate of hemostasis and few complications,which is beneficial to shorten the operation time,and reduce the amount of blood loss and blood transfusion.

关 键 词：产后出血 宫腔球囊填塞 B-LYNCH缝合 止血成功率 并发症 

分 类 号：R714.461[医药卫生—妇产科学]