剖宫产术中Bakri球囊填塞联合改良Hayman 缝合术对前置胎盘产后出血的疗效观察

Outcomes of Bakri balloon tamponade plus Hayman suture in managing postpartum hemorrhage of placenta previa in cesarean section

目的:比较宫腔Bakri球囊填塞联合改良Hayman缝合术与宫腔Bakri球囊填塞联合子宫动脉结扎术在剖宫产时治疗前置胎盘产后出血的疗效。方法:回顾性分析75例前置胎盘,按剖宫产术中不同的手术止血方法分为两组,Bakri球囊填塞+改良Hayman缝合术组(BH组)26例;宫腔Bakri球囊填塞+子宫动脉结扎组(BA组)49例。观察两组治疗效果。结果:BH组手术时间、术中及术后出血量、输血率、术后住院时间均低于BA组,差异有统计学意义(P<0.05)。结论:Bakri球囊填塞联合改良Hayman缝合术是减少子宫下段和子宫体部出血的一种手术方法,手术时间短,操作方便,是一种可选择的治疗剖宫产术时前置胎盘产后出血的有效方法。

Objective:To compare the efficacy of Bakri balloon tamponade combined with Hayman suture in the treatment of postpartum hemorrhage of placenta previa following cesarean section.Methods:Retrospective analysis was performed in 75 cases of placenta previa.The cases were divided into Bakri balloon tamponade+Hayman suture hemostasis group(BH group,n=26)and Bakri balloon tamponade+uterine artery ligation hemostasis group(BA group,n=49)by the hemostasis used during cesarean section to observe the treatment effect in the two groups.Results:The operative time,volume of intraoperative blood loss and postsurgical bleeding,blood transfusion rate,and postoperative hospital stay were generally lower in BH group than in BA group.The difference was significant(P<0.05).Conclusion:Combined Bakri balloon tamponade with Hayman suture is a surgical method to reduce uterine lower and uterine body bleeding.This technique can be an optional treatment for postpartum hemorrhage of placenta previa during cesarean section because of its short operative time and easy performance.