宫腔球囊填塞与B-Lynch缝合术治疗前置胎盘剖宫产产后出血患者的效果比较  

Comparison of effects of intrauterine balloon tamponade and B-Lynch suture in treatment of placenta previa patients with postpartum hemorrhage after cesarean section

作　　者：杨慢慢 YANG Manman(Department of Gynecology of Kaifeng Obstetrics and Gynecology Hospital,Kaifeng 475000 Henan,China)

机构地区：[1]开封市妇产医院妇科,河南开封475000

出　　处：《中国民康医学》2025年第4期158-160,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较宫腔球囊填塞与B-Lynch缝合术治疗前置胎盘剖宫产产后出血患者的效果。方法:回顾性分析2020年5月至2023年10月该院收治的85例前置胎盘剖宫产产后出血患者的临床资料,按照治疗方法不同将其分为对照组42例和观察组43例。对照组行B-Lynch缝合术治疗,观察组行宫腔球囊填塞治疗。比较两组临床疗效,临床指标(止血时间、住院时间)水平,以及治疗前后凝血功能指标[纤维蛋白原(FIB)、凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)]水平。结果:观察组治疗总有效率为93.02%(40/43),高于对照组的71.43%(30/42),差异有统计学意义(P<0.05);观察组止血时间、住院时间均短于对照组,差异有统计学意义(P<0.05);治疗后,两组PT、TT、APTT均短于治疗前,且观察组短于对照组,两组FIB水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:宫腔球囊填塞治疗前置胎盘剖宫产产后出血患者可提高治疗效果,改善临床指标、凝血功能指标水平,效果优于B-Lynch缝合术治疗。Objective:To compare effects of intrauterine balloon tamponade and B-Lynch suture in the treatment of placenta previa patients with postpartum hemorrhage after cesarean section.Methods:The clinical data of 85 placenta previa patients with postpartum hemorrhage after cesarean section admitted to this hospital from May 2020 to October 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group 42 cases and observation group 43 cases.The control group was treated with B-Lynch suture,while the observation group was treated with intrauterine balloon tamponade.The clinical efficacy,the clinical indexes(hemostasis time,hospitalization time)levels,and the coagulation function indexes[fibrinogen(FIB),prothrombin time(PT),thrombin time(TT),activated partial thromboplastin time(APTT)]levels before and after treatment were compared between the two groups.Results:The total effective rate of the observation group was 93.02%(40/43),which was higher than 71.43%(30/42)of the control group,and the difference was statistically significant(P<0.05).The hemostasis time and the hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of PT,TT and APTT in the two groups were shorter than those before treatment,and those in the observation group were shorter than those in the control group;the FIB levels of the two groups were higher than those before treatment,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).Conclusions:Intrauterine balloon tamponade in the treatment of the placenta previa patients with postpartum hemorrhage after cesarean section can improve the therapeutic effects and improve the levels of clinical indexes and coagulation function indexes.Moreover,it is superior to B-Lynch suture.

关 键 词：前置胎盘 剖宫产 产后出血 宫腔球囊填塞 B-LYNCH缝合术 凝血功能 

分 类 号：R714.461[医药卫生—妇产科学]