宫腔粘连分离术后放置Foley球囊引流量与检出阳性菌数量的相关性  

Correlation between the amount of Foley balloon drainage and the number of positive bacteria detected after intrauterine adhesions separation

作　　者：李晶晶[1] 刘玉环[1] 高晓薇[1] LI Jing-Jing;LIU Yu-Huan;GAO Xiao-Wei(Fuxing Hospital,Capital Medical University,Beijing,100038,China)

机构地区：[1]首都医科大学附属复兴医院,北京100038

出　　处：《中国妇幼保健》2022年第11期2118-2121,共4页Maternal and Child Health Care of China

基　　金：北京市科技计划课题(Z161100000516150)。

摘　　要：目的分析宫腔粘连分离术后放置Foley球囊引流量与引流管接头、宫颈培养及球囊表面产生阳性菌数量的相关性。方法选取2018年6月—2019年6月在首都医科大学附属复兴医院进行宫腔粘连分离手术的156例患者为研究对象,根据术后6 d引流总量将患者分为术后引流量>20 ml(A组,58例)、术后引流量10~20 ml(B组,33例)及术后引流量<10 ml(C组,65例);所有患者拔除宫腔球囊时对引流管接头处、球囊表面及宫颈分泌物进行细菌培养,比较各组患者细菌培养阳性率,分析宫腔粘连分离术后出血量对宫腔感染的影响。结果3组患者宫颈处细菌培养阳性率(77.59%、96.97%及78.46%)比较,差异有统计学意义(χ^(2)=6.341,P<0.05)。3组患者引流管接头培养阳性率(18.97%、21.21%及18.46%)和球囊表面细菌培养阳性率(27.59%、30.30%及29.23%)比较,差异无统计学意义(χ^(2)=0.111,P=0.946;χ^(2)=0.084,P=0.959)。156例患者留置球囊期间均无发热和持续腹痛表现,术后白细胞和血红蛋白在正常值范围。术后28 d复查时行妇科检查和阴道超声检查均无盆腔炎症表现。结论宫腔粘连分离术后出血量>10 ml者宫颈处细菌培养阳性率较高,宫腔粘连分离术后放置Foley球囊引流量与检出阳性菌数量具有相关性,且患者术后均未发生宫腔感染,表明术后宫腔放置球囊安全有效,可以降低患者感染风险,同时起到压迫止血和防止宫腔粘连的作用。Objective The correlation between the drainage volume of Foley balloon after intrauterine adhesion separation and the number of positive bacteria on the surface of the balloon and the drainage tube joint was analyzed.Methods A total of 156 patients undergoing intrauterine adhesion separation surgery in Fuxing Hospital,Capital Medical University from June 2018 to June 2019 were selected as the research subjects.According to the total amount of drainage 6 days after surgery,the patients were divided into two groups:postoperative drainage volume>20 ml(group A,58 cases),postoperative drainage volume 10-20 ml(group B,33 cases)and postoperative drainage volume<10 ml(group C,65 cases);Bacterial culture was performed on the drainage tube junction,balloon surface and cervical secretions of all patients when the intrauterine balloon was removed,and the positive rate of bacterial culture was compared in each group to analyze the influence of bleeding amount after intrauterine adhesion separation on intrauterine infection.Results The positive rate of bacterial culture in cervix of 3 groups(77.59%,96.97%and 78.46%)was significantly different(χ^(2)=6.341,P<0.05).There was no significant difference in the positive rate of bacterial culture on drainage tube joint(18.97%,21.21%,18.46%)and balloon surface among 3 groups(27.59%,30.30%,29.23%)(χ^(2)=0.111,P=0.946;χ^(2)=0.084,P=0.959).There was no fever or persistent abdominal pain in 156 patients during indwelling balloon,and WBC and hemoglobin were in the normal range after operation.There was no evidence of pelvic inflammation in gynecological examination and vaginal ultrasonography at 28 days postoperatively.Conclusion Patients with bleeding volume>10 ml after intrauterine adhesions had a higher positive rate of bacterial culture in the cervix.The drainage flow of Foley balloon after intrauterine adhesions was correlated with the number of detected positive bacteria,and no intrauterine infection occurred in all patients,indicating that postoperative intrauterine balloon placem

关 键 词：宫腔粘连 宫腔压迫引流管 术后出血量 细菌培养 

分 类 号：R711.74[医药卫生—妇产科学]