子宫背带缝合联合宫腔球囊治疗凶险型前置胎盘疗效

Treatment of dangerous placenta previa with uterine strap suture combined with uterine cavity balloon

目的:探讨子宫背带缝合联合宫腔球囊治疗凶险型前置胎盘疗效。方法:对有产后出血倾向的45例凶险型前置胎盘产妇进行回顾分析,均实施子宫背带缝合联合宫腔球囊治疗,分析治疗效果。结果:患者术中出血量为(2156.56±237.49)mL、术后1 d出血量(753.14±215.46)mL、止血时间(8.61±2.27)min;产妇术后住院时间(4.95±5.68)d,恶露持续时间(8.56±2.03)d,产后首次月经恢复时间(47.62±3.87)d;术后并发症发生率为4.44%。对产妇的临床治疗总有效率为97.78%。结论:凶险型前置胎盘产妇采用子宫背带缝合联合宫腔球囊治疗,疗效显著。

Objective:To observe the efficacy of uterine strap suture combined with uterine cavity balloon in the treatment of dangerous placenta previa.Methods:45 cases of dangerous placenta previa with postpartum hemorrhage tendency were retrospectively analyzed.Results:The amount of intraoperative bleeding was(2156.56±237.49)mL,1 day after operation(753.14±215.46)mL,hemostasis time(8.61±2.27)min,postoperative hospitalization time(4.95±5.68)d,lochia duration(8.56±2.03)d,the recovery time of the first menstrual period after birth was(47.62±3.87)d,and the incidence of postoperative complications was 4.44%.The total effective rate of clinical treatment was 97.78%.Conclusion:Uterine strap suture combined with uterine cavity balloon is effective in the treatment of dangerous placenta previa.