摘要
目的探讨宫腔球囊填塞在预防及治疗产后出血中的价值。方法将2010年1月～2012年12月行宫腔球囊填塞和B-lynch缝合预防或治疗产后出血的患者98例分为两组,填塞组50例:宫腔球囊填塞法止血,缝合组48例:B-lynch缝合法止血。结果填塞组患者产后24h出血量平均为(625.0±4.5)mL,缝合组患者产后24h出血量平均为(759.0±6.8)mL,两组差异有统计学意义(P﹤0.05)。两组输血量及手术时间比较,差异有统计学意义(P<0.05)。填塞组预防和治疗产后出血均优于缝合组,但两组间差异无统计学意义(P>0.05)。两组均无患者行子宫切除术,所有病例痊愈出院并随访6个月,无一例并发症发生。结论宫腔球囊填塞术具有操作简单、可靠、能有效预防及控制产后出血、有保留患者生育功能的优点。
Objective To discuss the value of the caused by intrauterine balloon tamponade in prevention and treatment of postpartum hemorrhage. Methods 98 cases by intrauterine balloon tamponade and B-lynch suture prevention or treatment of postpartum hemorrhage patients were divided into two groups from January 2010 to December 2012, 50 cases of tamponade group were given intrauterine balloon tamponade hemostasis; 48 cases in suture group were given B-lynch suture hemostasis. Results The postpartum blood loss averaged in 24 hours was （625.0±4.5） mL in tamponade group, the postpartum blood loss averaged in 24 hours was （759.0 ±6.8）mL in suture group, there were significant differences between the two groups （P 0.05）. The blood transfusion and operation time between the two groups compared, the difference was statistically significant （P 0.05）. The prevention and treatment of postpartum hemorrhage in tamponade group were superior to suture group, but there was no statistically significant difference between two groups （P 0.05）. Two groups of patients had no hysterectomy, all cases recovered from hospital and were followed up for 6 months, no complications occurred. Conclusion The uterine balloon tamponade technique is simple, reliable operation, it can effectively prevent and control postpartum hemorrhage, have the advantage of reproductive function in patients with retained.
出处
《中国当代医药》
2013年第16期51-52,共2页
China Modern Medicine
关键词
产后出血
宫腔球囊
B-LYNCH缝合
临床观察
Postpartum hemorrhage
Intrauterine balloon tamponade
B-lynch stitching
Clinical observation
