Objective: The incidence of placenta previa (PP) has been increasing due to the rise in cesarean rates. The aim of this study is to determine the success of lower uterine segment compression suture and bakri balloon a...Objective: The incidence of placenta previa (PP) has been increasing due to the rise in cesarean rates. The aim of this study is to determine the success of lower uterine segment compression suture and bakri balloon applications in patients diagnosed with placenta previa. Materials and Methods: 257 patients who underwent cesarean section due to placenta previa totalis (PPT) between the years of 2010-2018 in Ondokuz Mayis University were screened retrospectively. The patients were evaluated in four groups according to their treatment method: medical treatment, bakri balloon application, compression suture and hysterectomy. Results: In the study, between the years 2010-2015, postpartum hysterectomy was performed in the cases of adherent placenta previa, and hysterectomy was performed in 33 patients. Between the years of 2015-2018, first, bakri balloon or compression suture was applied;and if bleeding control was not achieved despite these, then, hysterectomy was performed. Between 2015 and 2018, a total of 27 patients underwent compression suture and 1 patient had a hysterectomy after all. The success rate was 96.3% with compression suture and 91.7% for bakri balloon application. Totally, 24 patients were treated with bakri balloon and yet, two patients underwent hysterectomy. When all the cases were examined, complications caused by urinary bladder and ureteral injury were seen in 5.6% of patients, and all of these complications were also seen in hysterectomy patients. Conclusion: Lower uterine segment transverse suture technique and bakri balloon application should be considered as a good alternative to prevent hysterectomy in patients with placenta previa totalis. In addition, they are effective treatment methods that can be used without increasing maternal morbidity.展开更多
目的探讨剖宫产术中Bakri球囊填塞预防产后出血的临床效果。方法选取2018年1月至2022年6月上海市奉贤区奉城医院妇产科收治的96例剖宫产产妇,按照随机数字表法分为观察组(48例)、对照组(48例)。对照组采用常规宫腔纱布填塞,观察组采用Ba...目的探讨剖宫产术中Bakri球囊填塞预防产后出血的临床效果。方法选取2018年1月至2022年6月上海市奉贤区奉城医院妇产科收治的96例剖宫产产妇,按照随机数字表法分为观察组(48例)、对照组(48例)。对照组采用常规宫腔纱布填塞,观察组采用Bakri球囊填塞,比较两组临床效果。结果两组的产后出血量、子宫切除情况、术后24 h出血量比较,差异无统计学意义(P>0.05)。观察组的术后24 h VAS评分、产褥期并发症总发生率低于对照组,填塞物取出时间短于对照组(P<0.05)。结论Bakri球囊填塞预防产后出血效果确切,能够降低术后疼痛感及产褥期并发症发生率,临床可推广应用。展开更多
文摘Objective: The incidence of placenta previa (PP) has been increasing due to the rise in cesarean rates. The aim of this study is to determine the success of lower uterine segment compression suture and bakri balloon applications in patients diagnosed with placenta previa. Materials and Methods: 257 patients who underwent cesarean section due to placenta previa totalis (PPT) between the years of 2010-2018 in Ondokuz Mayis University were screened retrospectively. The patients were evaluated in four groups according to their treatment method: medical treatment, bakri balloon application, compression suture and hysterectomy. Results: In the study, between the years 2010-2015, postpartum hysterectomy was performed in the cases of adherent placenta previa, and hysterectomy was performed in 33 patients. Between the years of 2015-2018, first, bakri balloon or compression suture was applied;and if bleeding control was not achieved despite these, then, hysterectomy was performed. Between 2015 and 2018, a total of 27 patients underwent compression suture and 1 patient had a hysterectomy after all. The success rate was 96.3% with compression suture and 91.7% for bakri balloon application. Totally, 24 patients were treated with bakri balloon and yet, two patients underwent hysterectomy. When all the cases were examined, complications caused by urinary bladder and ureteral injury were seen in 5.6% of patients, and all of these complications were also seen in hysterectomy patients. Conclusion: Lower uterine segment transverse suture technique and bakri balloon application should be considered as a good alternative to prevent hysterectomy in patients with placenta previa totalis. In addition, they are effective treatment methods that can be used without increasing maternal morbidity.
文摘目的探讨剖宫产术中Bakri球囊填塞预防产后出血的临床效果。方法选取2018年1月至2022年6月上海市奉贤区奉城医院妇产科收治的96例剖宫产产妇,按照随机数字表法分为观察组(48例)、对照组(48例)。对照组采用常规宫腔纱布填塞,观察组采用Bakri球囊填塞,比较两组临床效果。结果两组的产后出血量、子宫切除情况、术后24 h出血量比较,差异无统计学意义(P>0.05)。观察组的术后24 h VAS评分、产褥期并发症总发生率低于对照组,填塞物取出时间短于对照组(P<0.05)。结论Bakri球囊填塞预防产后出血效果确切,能够降低术后疼痛感及产褥期并发症发生率,临床可推广应用。
