摘要
目的探讨Bakri球囊填塞联合子宫动脉上行支结扎术治疗剖宫产产后出血的疗效。方法 60例剖宫产产后出血产妇随机分为两组各30例,对照组给予Bakri球囊填塞止血,观察组给予Bakri球囊填塞联合子宫动脉上行支结扎术止血,比较两组的治疗效果及并发症。结果两组的术后出血量均显著低于术中出血量(P<0.05),且观察组术后2 h、术后24 h出血量均显著低于对照组(P<0.05)。观察组的手术时间及住院时间均显著短于对照组,并发症发生率显著低于对照组(P<0.05)。结论 Bakri球囊填塞联合子宫动脉上行支结扎术治疗剖宫产产后出血的效果较好,可降低产妇出血量,缩短康复时间,减少并发症的发生。
Objective To explore the efficacy of Bakri balloon embolization combined with ligation of ascending branch of uterine artery in the treatment of postpartum hemorrhage of cesarean section. Methods 60 patients with postpartum hemorrhage of cesarean section were randomly divided into two groups equally. The control group received Bakri balloon embolization for hemostasis, and the observation group received Bakri balloon embolization combined with ligation of ascending branch of uterine artery for hemostasis. The curative effects and complications were compared between the two groups. Results The amount of postoperative hemorrhage was significantly lower than that of intraoperative hemorrhage in both groups(P<0.05), and the amount of postoperative 2 h hemorrhage and amount of postoperative 24 h hemorrhage of the observation group were significantly lower than those of the control group(P<0.05). The operation time and hospitalization time of the observation group were significantly shorter than those of the control group, and the incidence of complications was significantly lower than that of the control group(P<0.05). Conclusions Bakri balloon embolization combined with ligation of ascending branch of uterine artery has good effect in the treatment of postpartum hemorrhage of cesarean section, which can reduce patients’ amount of hemorrhage, shorten the recovery time and reduce the incidence of complications.
作者
廖思丽
罗智菊
何小梅
LIAO Sili;LUO Zhiju;HE Xiaomei(Department of Obstetrics and Gynecology,Xingning People's Hospital,Meizhou 514500,China)
出处
《临床医学工程》
2019年第12期1605-1606,共2页
Clinical Medicine & Engineering
基金
2018年度梅州市社会发展科技计划项目“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”（项目编号：2018B134）
关键词
产后出血
剖宫产
Bakri球囊
子宫动脉上行支结扎术
Postpartum hemorrhage
Cesarean section
Bakri balloon
Ligation of ascending branch of uterine artery
