摘要
目的:探讨子宫体双侧子宫动脉缝扎术联合宫腔球囊填塞治疗前置胎盘产后出血疗效。方法:回顾性分析2018年1月-2022年1月本院收治的前置胎盘产后出血患者100例资料,按照治疗方法不同分组,对照组采用常规纱布填塞止血,联合组采用子宫体双侧子宫动脉缝扎术联合宫腔球囊填塞止血,比较两组止血效果、手术时间、术后24h出血量、外周血白细胞计数及并发症发生情况。结果:联合组止血有效率(96.0%)高于对照组(80.0%),手术时间(48.2±8.7min)、填塞物留置时间(19.3±3.9 h)、术后24h出血量(202.7±21.6 ml)、外周血白细胞计数(9.24±1.12)×10^(9)个/L均低于对照组[(64.0±10.1min、23.5±4.3 h、265.2±30.5 ml、(13.37±1.48)×10^(9)个/L],子宫切除、术后感染、发热、失血性休克等并发症总发生率(8.0%)低于对照组(34.0%)(均P<0.05);术后6个月时雌二醇、卵泡刺激素、黄体生成素两组无差异(P>0.05)。结论:子宫体双侧子宫动脉缝扎术联合宫腔球囊填塞治疗前置胎盘产后出血止血效果更好,能够缩短手术时间、减少出血量,且安全性高。
Objective:To investigate the curative effect of bilateral uterine artery suture combined with intrauterine bal-loon tamponade for treating postpartum hemorrhage of women with placenta previa.Methods:The data of 100 women with postpartum hemorrhage because of placenta previa from January 2018 to January 2022 were analyzed retrospec-tively.These women were divided two groups according to the different treatment of postpartum hemorrhage.The women in the control group were treated with routine gauze tamponade for hemostasis,and the women in the study group were treated with bilateral uterine artery suture combined with intrauterine balloon tamponade for hemostasis.The hemostatic effect,the operation time,the blood loss in 24 hours after operation,the peripheral blood leukocyte count,and the complications rate of the women were compared between the two groups.Results:The hemostatic effective rate(96.0%)of the women in the study group was significantly higher than that(80.0%)of the women in the control group.The operative time(48.2±8.7min),the retention time(19.3±3.9 h),the postoperative blood loss(202.7±21.6 ml),and the peripheral blood white blood cell count[(9.24±1.12))×10^(9) piece/L]of the women in the study group were significantly lower than those[64.0±10.1min,23.5±4.3 h,265.2±30.5 ml,and(13.37±1.48)×10^(9)piece/L]of the women in the control group.The incidence of total complications(8.0%),such as hysterectomy,.postoperative infection,fever,hemorrhagic shock,and other complication of the women in the study group was significantly lower than that(34.0%)of the women in the control group(all P<0.05).There were no significant differences in the levels of estradiol,follicle stimulating hormone,and luteinizing hormone of the women in the 6th months after surgery between the two groups(P>0.05).Conclusion:Bilateral uterine artery suture combined with intrauterine balloon tamponade for treating postpartum hemorrhage because of placenta previa of the women has better hemostatic effect,which can shorten the opera
作者
彭舟丽
淮瑞敏
张建霞
PENG Zhouli;HUAI Ruimin;ZHANG Jianxia(Shunyi District Hospital of Beijing,Beijing,101300)
出处
《中国计划生育学杂志》
2023年第3期654-657,共4页
Chinese Journal of Family Planning
关键词
前置胎盘
产后出血
子宫动脉缝扎术
宫腔球囊填塞
止血效果
Placenta previa
Postpartum hemorrhage
Uterine artery suture
Intrauterine balloon tamponade
Hemostatic effect
