Bakri子宫填塞球囊导管在治疗产后出血中的应用

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

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。

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.