水囊压迫法在子宫疤痕妊娠7例止血观察及护理配合

Efficacy and nursing cooperation of uterine cavity placed bladders oppression in the treatment of 7 cases of cesarean scar pregnancy

目的 分析宫腔放置水囊压迫法在子宫疤痕妊娠的止血效果及护理配合.方法 将7例确诊为子宫疤痕妊娠妇女作为研究对象,均进行刮宫术联合宫腔放置水囊压迫法止血治疗.结果 7例患者平均住院时间（5.6±2.0）d,术中出血量平均为（268.9±71.6） ml,放置水囊压迫法后平均出血量为（65.4±11.9） ml,血清β-HCG下水平降至正常水平时间（11.9±3.8）d,术后无一例患者出现感染.结论 宫腔放置水囊压迫法止血效果可靠、安全,且水囊制作简单、应用广泛、费用低廉,尤其适合基层医院妇产科手术宫腔大出血的止血处理.

Objective To analyze efficacy and nursing cooperation of uterine cavity placed bladders oppression in the treatment of 7 cases of cesarean scar pregnancy.Method 7 cases of cesarean scar pregnancy underwent curettage jointly uterine cavity placed bladders oppression treatment.Results The average hospitalization of 7 cases of uterine scar pregnancy was （5.6 ± 2.0） days,the average blood loss was （268.9 ± 71.6） ml,the average amount of bleeding after placing bladders was （65.4 ± 11.9） ml,the average time of serum β-HCG level down to normal level was （11.9 ± 3.8） days,without postoperative infection.Conclusions Uterine cavity placed bladders oppression in the treatment of uterine scar pregnancy is reliable and safe.Advantages of bladders are simple make,wide usage and low cost,especially suitable for treatment of uterine bleeding of gynecologic surgery in the primary hospital.