Bakri子宫填塞球囊导管在治疗产后出血中的应用

目的探讨Bakri子宫填塞球囊导管对产后出血的治疗效果，总结应用经验。方法对64例分娩发生产后出血、应用Bakri子宫填塞球囊导管治疗的患者进行回顾性病例分析，总结患者临床特点，分析Bakri子宫填塞球囊导管对产后出血的治疗效果，总结应用经验。将放置Bakri子宫填塞球囊导管后出血减少，无需采取其他治疗措施者定义为治疗成功。结果研究期间应用Bakri子宫填塞球囊导管患者共64例，产后出血原因主要为子宫收缩乏力、胎盘剥离面出血、胎盘植入，Bakri子宫填塞球囊导管治疗产后出血成功60例，成功率为94％，4例治疗失败中有3例合并胎盘植入。结论Bakri子宫填塞球囊导管应用相对简便，可以实时观察出血量，有效治疗产后出血，减少出血量，胎盘植入可能是放置Bakri球囊导管治疗失败的因素之一。

Application of Bakri uterine tamponade with balloon catheter in treatment of postpartum hemorrhage

Objective To evaluate the therapeutic efficacy of Bakri uterine tamponade with balloon catheter in the treatment of postpartum hemorrhage and summarize the application experience. Methods Clin- ical data of 64 patients with postpartum hemotrhage undergoing Bakri uterine tamponade with balloon catheter were retrospectively analyzed. Clinical characteristics were summarized to evaluate clinical effect of Bakri uter- ine tamponade with balloon catheter in the treatment of postpartum hemorrhage and application experience was accumulated. Cases of bleeding reduction without the requirement of undergoing any other treatment were de- fined as successful treatment. Results Sixty-four patients were enrolled in this study. The causes of postpar- tum hemorrhage included uterine inertia, hemorrhage from the stripping surface of placenta and placenta im- plantation. The success rate of postpartum hemorrhage treatment was 94%. Among four patients with treatment failure, three had placenta implantation. Conclusions Application of Bakri uterine tamponade with balloon catheter is a simple procedure, which can observe the quantity of bleeding in a real-time manner, effectively treat postpartum hemorrhage and reduce the amount of hemorrhage. Placenta implantation may be one of rea- sons resulting in treatment failure.