摘要
目的:观察止血带暂时性环扎子宫下段联合宫腔Bakri球囊填塞治疗前置胎盘剖宫产术中出血患者的效果。方法:回顾性分析2022年2月至2024年7月该院收治的100例前置胎盘剖宫产患者的临床资料,根据治疗方案不同将其分为对照组和观察组各50例。对照组采用宫腔Bakri球囊填塞治疗,观察组在对照组基础上联合止血带暂时性环扎子宫下段治疗。比较两组围手术期指标(术中及术后出血量、术中输血量、填塞物留置时间、止血时间、手术时间、住院时间)水平,术后恢复指标(产后恶露持续时间、月经恢复时间、产后月经周期)水平,以及术后并发症发生率。结果:观察组术中出血量、术后出血量、术中输血量均少于对照组,填塞物留置时间、止血时间、住院时间均短于对照组,手术时间长于对照组,差异有统计学意义(P<0.05);观察组产后恶露持续时间、月经恢复时间均短于对照组,差异有统计学意义(P<0.05);两组产后月经周期比较,差异无统计学意义(P>0.05);观察组并发症发生率为6.00%(3/50),低于对照组的20.00%(10/50),差异有统计学意义(P<0.05)。结论:止血带暂时性环扎子宫下段联合宫腔Bakri球囊填塞治疗前置胎盘剖宫产术中出血患者可减少术中出血量、术后出血量、术中输血量,缩短填塞物留置时间、止血时间、住院时间、产后恶露持续时间、月经恢复时间,以及降低并发症发生率,效果优于单纯宫腔Bakri球囊填塞治疗,但需延长手术时间。
Objective:To observe effects of temporary lower uterine segment ligation with tourniquet combined with intrauterine Bakri balloon tamponade in treatment of patients with hemorrhage during cesarean section of placenta previa.Methods:The clinical data of 100 patients with cesarean section of placenta previa admitted to this hospital from February 2022 to July 2024 were retrospectively analyzed.According to different treatment options,they were divided into control group and observation group,50 cases in each group.The control group was treated with intrauterine Bakri balloon tamponade,while the observation group was treated with temporary lower uterine segment ligation with tourniquet on the basis of that of the control group.The levels of perioperative indexes(intraoperative and postoperative blood loss,intraoperative blood transfusion volume,indwelling time of tamponade,hemostasis time,operation time,total hospitalization time)and postoperative recovery indexes(duration of postpartum lochia,menstrual recovery time,postpartum menstrual cycle),and the incidence of postoperative complications were compared between the two groups.Results:The intraoperative blood loss,the postoperative blood loss and the intraoperative blood transfusion volume in the observation group were less than those in the control group;the indwelling time of tamponade,the hemostasis time and the hospitalization time in the observation group were shorter than those in the control group;the operation time was longer than that in the control group;and the differences were statistically significant(P<0.05).The duration of postpartum lochia and the menstrual recovery time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the postpartum menstrual cycle between the two groups(P>0.05).The incidence of complications in the observation group was 6.00%(3/50),which was lower than 20.00%(10/50)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Temporary lower uterine segment ligation with tourniquet combined with intrauterine Bakri balloon tamponade in the treatment of the patients with cesarean section of placenta previa can reduce the intraoperative blood loss,the postoperative blood loss,the intraoperative blood transfusion volume,shorten the indwelling time of tamponade,the hemostasis time,the hospitalization time,the postpartum lochia duration and the menstrual recovery time,and reduce the incidence of complications.It is superior to simple intrauterine Bakri balloon tamponade,but the operation time needs to be prolonged.
作者
周文静
ZHOU Wenjing(Department of Obstetrics and Gynecology of Pingdingshan Maternal and Child Health Hospital,Pingdingshan 467000 Henan,China)
出处
《中国民康医学》
2025年第23期62-64,68,共4页
Medical Journal of Chinese People’s Health
关键词
前置胎盘
剖宫产
止血带暂时性环扎子宫下段
宫腔Bakri球囊填塞
出血量
并发症
Placenta previa
Cesarean section
Temporary lower uterine segment ligation with tourniquet
Intrauterine Bakri balloon tamponade
Blood loss
Complication
