子宫动脉上行支结扎术联合Bakri球囊宫腔填塞在剖宫产产后出血中的应用  

Application of Ligation of Ascending Branch of Uterine Artery Combined with Bakri Balloon Uterine Cavity Packing in the Treatment of Postpartum Hemorrhage after Cesarean Section

作　　者：罗智菊 廖思丽 刁永强 LUO Zhi-ju;LIAO Si-li;DIAO Yong-qiang(Department of Obstetrics and Gynecology,Xingning People's Hospital,Meizhou,Guangdong Province,514500 China)

机构地区：[1]兴宁市人民医院妇产科,广东梅州514500

出　　处：《中外医疗》2020年第36期196-198,共3页China & Foreign Medical Treatment

基　　金：梅州市科技计划项目(2018B134)。

摘　　要：目的探究子宫动脉上行支结扎术联合Bakri球囊宫腔填塞在剖宫产产后出血中的应用。方法方便选取2016年1月—2020年3月该院收治的剖宫产产后出血产妇60例作为研究对象,分为研究组和对照组,每组30例,其中2016年1月—2018年6月是选取部分回顾性病例纳入对照组。研究组剖宫产术中采用子宫动脉上行支结扎术联合Bakri球囊宫腔填塞,对照组术中未采用子宫动脉上行支结扎术或宫腔填塞Bakri球囊。观察比较两组手术时间、术中出血量、术后2 h出血量、术后24 h总出血量及并发症等情况。观察对比止血成功率、再发严重出血率、重返手术室率、子宫切除率。结果研究组产妇术中出血量、术后2 h出血量和术后24 h总出血量均显著低于对照组,差异有统计学意义(P<0.05);研究组产妇止血成功率(100.00%)高于对照组(80.00%),差异有统计学意义(χ^(2)=4.630,P<0.05),再发严重出血率、重返手术室率、子宫切除率均显著低于对照组,差异有统计学意义(P<0.05);研究组产妇并发症发生率(6.67%)显著低于对照组(33.33%),差异有统计学意义(χ^(2)=6.667,P=0.010)。结论采用子宫动脉上行支结扎术联合Bakri球囊宫腔填塞应用于剖宫产产后出血,止血成功率高,安全性较高。Objective To explore the application of ligation of the ascending branch of the uterine artery combined with Bakri balloon tamponade in post-cesarean section hemorrhage.Methods A total of 60 women with postpartum hemorrhage after cesarean section admitted to the hospital from January 2016 to March 2020 were conveniently selected as the research objects.They were divided into a study group and a control group,with 30 cases in each group.Among them,from January 2016 to June 2018,to select some retrospective cases into the control group.In the study group,ascending uterine artery ligation combined with Bakri balloon tamponade was used during cesarean section.In the control group,ascending uterine artery ligation or Bakri balloon tamponade was not used during operation.The operation time,intraoperative blood loss,2 h postoperative blood loss,24 h postoperative total blood loss and complications were observed and compared between the two groups.Observed and compared the success rate of hemostasis,recurrence of severe bleeding,return to operating room,and hysterectomy rate.Results The blood loss during operation,the blood loss at 2 h after operation,and the total blood loss at 24 h after operation in the study group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The successful rate of hemostasis in the study group(100.00%)was higher than that of the control group(80.00%),the difference was statistically significant(χ^(2)=4.630,P<0.05),the rate of recurrence of severe bleeding,the rate of return to the operating room,and the rate of hysterectomy were all significantly lower than the control group,the difference was statistically significant(P<0.05).The incidence of maternal complications in the study group(6.67%)was significantly lower than that in the control group(33.33%),and the difference was statistically significant(χ^(2)=6.667,P=0.010).Conclusion The ascending uterine artery ligation combined with Bakri balloon tamponade was used for cesarean postpa

关 键 词：子宫动脉上行支结扎术 Bakri球囊宫腔填塞 剖宫产 产后出血 

分 类 号：R714[医药卫生—妇产科学]