引产球囊在剖宫产产后出血中的应用

目的探讨引产球囊压迫宫腔在剖宫产术产后出血中的治疗效果。方法选择2006年9月10日～2010年12月1日在笔者所在医院行剖宫产术中难治性产后出血患者50例,所有患者均使用宫缩剂及按摩子宫、结扎子宫动脉治疗效果不佳,且难以控制出血时,按照止血方法不同,随机分为两组。观察组25例采用引产球囊压迫宫腔的方法治疗术中难治性产后出血,对照组25例行子宫切除术治疗术中难治性产后出血。并比较两组的治疗效果、手术时间、住院时间等。结果观察组的止血有效率为96%,术后子宫复旧好,无感染发生,保留了子宫及其功能;对照组的有效率为88%,两组止血效果比较差异无统计学意义(P>0.05);两组手术时间、住院时间等比较,差异有统计学意义(P<0.05)。结论引产球囊压迫宫腔止血法止血迅速,效果好,操作简单,保留了患者的子宫及生育功能,有显著的临床实用价值,为强烈希望保留子宫的患者提供了一种新的选择。

Application of uterine cooker balloon compression for intractable postpartum hemorrhage in caesarean operaton

Objective To investigate the clinical efficacy of the uterine balloon compression in intractable postpartum hemorrhage in caesarean operaton.Methods 50 patients with intractable postpartum hemorrhage were dealled during the time from September 10,2006 to December 1,2010.All of them were with ineffective of drug therapy,massage uterus,ligature uterine artery,and uncontrolled bleeding,according to the different ways to stop bleeding,they were randomly divided into two groups,and each for 25 cases.The observation group with 25 cases were deallers with uterine cooker ballon compression for the refractory postparturm hemorrhage;and the control group with 25 cases were treated for the hysterectomy.And two groups were compared on the factors;the operative time,hospitalization time,and efficient methods such as clinical hemostatic effect.Results The haemostasis rate of the observation group was 96%,uterine involution is good after operation,retainning the uterus and its physiological function,none of severe complications occurred.In the contronl group,the haemostasis rate was 86%.Haemostatic effects of these two group have no statistically significance(P >0.05),operative time,hospitalization time,etc of these two group have more statistically significance(P < 0.05).Conclusion Uterine bleeding halloon-compression method are simple to use,hemostasis are fast,reliable and has good effect,it can also retain the uterus and reproductive function,it has significant clinical advantages and practical value,The present findings may lead to the development of new treatment strategies for intractable postpartum hemorrhage in caesarean operaton.