摘要
目的:观察与比较不同治疗方式在难治性产后出血患者中的效果及对性激素表达的影响。方法:选取2013年1月至2016年12月崇州市人民医院收治的51例难治性产后出血患者为研究对象,将其根据治疗方式的不同分为A组(宫腔球囊填塞压迫止血组)、B组(宫腔球囊填塞与B-lynch缝合止血组)和C组(宫腔球囊填塞与宫颈缝扎止血组),每组均为17例患者。统计与比较三组患者止血效果、止血时间、术中出血量、术后24h出血量及手术后不同时间的卵巢血流参数和性激素表达水平。结果:B组和C组患者的止血总有效率高于A组患者(P <0. 05),止血时间短于A组患者(P <0. 05),术中出血量和术后24h出血量均小于A组患者(均P <0. 05),术后不同时间的卵巢血流参数和性激素表达水平显著优于A组患者(P <0. 05),而B组和C组患者的上述指标差异无统计学意义(P> 0. 05)。结论:宫腔球囊填塞与B-lynch缝合止血和宫腔球囊填塞与宫颈缝扎止血在难治性产后出血患者中的疗效优于宫腔球囊填塞压迫止血,且对患者性激素表达的不良影响较小,因此适用于难治性产后出血患者。
Objective:To observe and compare the effect of different treatment methods in the patients with intractable postpartum hemorrhage and influence for the expression of sex hormones.Methods:51 patients with intractable postpartum hemorrhage in Chongzhou People′s Hospital from January 2013 to December 2016 were selected for the study,and they were divided into group A(compression hemostasis by intrauterine balloon tamponade group)17 cases,group B(intrauterine balloon tamponade and Blynch suture hemostasis group) 17 cases and group C(intrauterine balloon tamponade and hemostasis by cervix suture group)17 cases.Then the hemostatic effect,hemostatic time,intraoperative blood loss,blood loss at 24h after the operation,ovarian blood flow parameters and sex hormone expression levels at different time after the operation of three groups were analyzed and compared.Results:The hemostatic effective rates of group B and group C were higher than that of group A(P<0.05),the hemostatic time were shorter than that of group A(P<0.05),the intraoperative blood loss and blood loss at 24h after the operation were less than those of group A(all P<0.05),the ovarian blood flow parameters and sex hormone expression levels at different time after the operation were all significantly better than those of group A(P<0.05),while those indexes of group B and group C had no significant differences(P>0.05).Conclusions:The effect of intrauterine balloon tamponade and B-lynch suture hemostasis and intrauterine balloon tamponade and hemostasis by cervix suture in the patients with intractable postpartum hemorrhage are better than those of compression hemostasis by intrauterine balloon tamponade,and its bad influence for the expression of sex hormones are smaller,so it is more suitable to the patients with intractable postpartum hemorrhage.
作者
陈徐
龚阳
谢兰
CHEN Xu;GONG Yang;XIE Lan(Department of Obstetrics and Gynecology,Chongzhou People′s Hospital,Chengdu 611230,Sichuan,China;Department of Obstetrics and Gynecology,Sichuan Province People′s Hospital,Chengdu 610072,Sichuan,China)
出处
《中国性科学》
2018年第12期84-88,共5页
Chinese Journal of Human Sexuality
关键词
宫腔球囊填塞压迫止血
B-lynch缝合止血
宫颈缝扎止血
难治性产后出血
性激素表达
Compression hemostasis by intrauterine balloon tamponade
B-lynch suture hemostasis
Hemostasis by cervix suture
Intractable postpartum hemorrhage
Expression of sex hormones
