Bakri子宫填塞球囊导管在凶险型前置胎盘剖宫产术中的应用

Application of Bakri uterine tamponade balloon catheter in cesarean section of pernicious placenta previa

目的探讨Bakri子宫填塞球囊导管在治疗凶险型前置胎盘剖宫产术中的临床效果。方法回顾性分析2012年3月-2015年10月佛山市妇幼保健院收治的41例凶险型前置胎盘患者的临床资料,术中应用Bakri子宫填塞球囊导管者21例为研究组,术中应用宫腔纱布填塞者20例为对照组。对两组患者的年龄、孕次、产次、孕龄、手术时间、术中出血量、术后24 h总出血量、产褥病率进行对比分析。结果两组比较,患者年龄、孕次、产次、孕龄差异无统计学意义(P>0.05)。研究组手术时间短于对照组,术中出血量、术后24 h总出血量、产褥病率均少于对照组,差异有统计学意义(P<0.05)。结论在凶险型前置胎盘剖宫产术中放置Bakri子宫填塞球囊导管操作简单,能快速有效控制子宫出血,不增加产褥病率,值得临床推广使用。

Objective To explore the clinical effect of Bakri uterine tamponade balloon catheter in cesarean section of pernicious pla- centa previa. Methods The clinical data of 41 patients with pernicious placenta praevia treated in the hospital from March 2012 to October 2015 were retrospectively analyzed. All the patients were divided into study group （ including 21 patients treated by Bakri uterine tamponade balloon catheter） and control group （including 20 patients treated by intrauterine gauze packing） . Patients＂ age, gravidity, parity, gesta- tional age at delivery, operation time, tile amounts of blood loss during operation, the total amounts of blood loss within 24 hours after opera- tion, puerperal morbidities in the two groups were compared and analyzed. Results There was no statistically significant difference in pa- tients＇ age, gravidity, parity, gcstational age at delivery between the two groups （P〉0. 05） . The operation time in study group was shorter than that in control group, the amount of blood loss during operation, the total amount of blood loss within 24 hours after operation, and puer- peral morbidity in study group were lower than those in contrnl group, there were statistically sigllificant difterences （P 〈 0.05 ） . Conclusion Insertion of Bakri uterine tamponade balloon catheter in cesarean section of pernicious placenta previa is simple, the method can rapidly and etfectively control uterine hemorrhage without increase of puerperal morbidity, which is worthy of clinical protnotion and ap- plication.