Bakri子宫填塞球囊在产后出血中的应用

Application of bakri 's uterine packing balloon in postpartum hemorrhage

目的探讨Bakri子宫填塞球囊在产后出血中的应用价值。方法回顾性分析18例使用Bakri子宫填塞球囊治疗产后出血的病例,比较其与同期应用子宫背带式缝扎术治疗产后出血的临床疗效及应用价值。结果应用Bakri球囊组与子宫背带式缝扎组相比,有效率相近(P>0.05);但两组手术时间及术中、术后出血量差异有高度统计学意义(P<0.01),且Bakri球囊组手术用时更短,术中术后出血更少。结论 Bakri子宫填塞球囊应用于产后出血的临床疗效可靠,操作简便,止血快速,是一种既适用于剖宫产,又适用于阴道分娩的保守治疗方法,能有效减少产科子宫切除及产妇死亡率,具有较高的临床应用价值。

Objective To evaluate the application value of Bakri＇s uterine packing balloon in postpartum hemorrhage. Methods 18 cases of postpartum hemorrhage treated with Bakri＇s uterine packing balloon were retrospectively analyzed. The clinical curative effect and application value of Bakri＇s uterine packing balloon and uterine ligament suture in the treatment of postpartum hemorrhage during the same period were compared. Results The efficiency of Bakri＇s balloon group was similar to that of the uterine ligament group（P〉0.05）; but there were significant differences of the time of op- eration and the amount of intraoperative and postoperative bleeding between the two groups（P〈0.01）. The time of opera- tion in Bakri＇s ballon group was shorter, and the amount of intraoperative and postoperative bleeding was less. Conclu- sion The clinical effects of Bakri＇s uterine packing balloon applied in postpartum hemorrhage is reliable, with simple operation and fast hemostasis, which is a kind of conservative treatment method both suitable for Caesarean section and vaginal delivery. It can effectively reduce obstetric hysterectomy and maternal mortality, which has a high clinical value.