前置胎盘剖宫产术中两种止血方法的应用比较

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1、前置胎盘剖宫产术中两种止血方法的应用比较【摘要】目的探讨在前置胎盘剖宫产术中使用Bakri子宫球囊填塞和宫腔塞纱两种止血方法的临床疗效。方法对114例行剖宫产的前置胎盘患者进行回顾性研宄，其中66例术中使用Bakri子宫填塞球囊导管患者为Bakri组，48例使用宫腔塞纱患者为宫腔塞纱组，比较两组术后24h出血量、止血成功率、手术时间、是否需急诊手术、子宫切除率、产褥病发生率、住院时间等。结果两组患者术后24h出血量、止血成功率、急诊手术比例及住院时间比较差异无统计学意义。Bakri组产褥病发生率低于宫腔塞纱组，但差异无统计学意义。Bakri

2、组手术时间为min,短于宫腔塞分组的min，差异有统计学意义。两组均无子宫切除病例。结论Bakri子宫腔球囊填塞和宫腔塞纱均可作为前置胎盘剖宫产中的保守性治疗措施，止血疗效肯定，并发症少，可根据医院和患者的具体情况选择使用。【关键词】Bakri子宫球囊填塞；宫腔塞纱；前置胎产后出血DOI：10.14163/j.cnki.ll-5547/r.2017.16.020ComparisonofapplicationoftwohemostasiswaysinplacentapreviacesareansectionZHANGJing，LUYue-ch

3、eng.DepartmentofObstetricsandGynecology，GuangzhouCityWomenandChildren’sMedicalCenter,Guangzhou510623,China【Abstract】ObjectiveToinvestigateclinicaleffectsbytwohemostasisways，asBakriuterineballoonpackinganduterinecavitygauzepacking，inplacentapreviacesareansection.MethodsAtot

4、alof114patientswithplacentapreviareceivingcesareansectionweretakenintoretrospectiveresearch.Therewere66casesasBakrigroupreceivingBakriuterineballoonpackinginoperation,and48casesasuterinecavitygauzepackinggroupreceivinguterinecavitygauzepackinginoperation.Comparisonwasmadeo

5、n24hpostoperativebleedingvolume，hemostasissuccessrate，operationtime,emergencyoperationrequirement，hysterectomyrate，incidenceofpuerperalism，andhospitalstaytimebetweenthetwogroups.ResultsTherewasnostatisticallysignificantdifferenceof24hpostoperativebleedingvolume，hemostasiss

6、uccessrate,emergencyoperationproportionandhospitalstaytimebetweenthetwogroups.TheBakrigrouphadlowerincidenceofpuerperalismthantheuterinecavitygauzepackinggroup，buttheirdifferencehadnostatisticalsignificance.TheBakrigrouphadshorteroperationtimeasminthanminintheuterinecavity

7、gauzepackinggroup，andtheirdifferencehadstatisticalsignificance.Therewasnohysterectomycaseinbothgroups.ConclusionBothofBakriuterineballoonpackinganduterinecavitygauzepackingcanactasconservativetreatmentmeasuresinplacentapreviacesareansection，alongwithaffirmativehemostasisef

8、fectandfewcomplications.Selectioncanbemadeinaccordancewithpracticalsituationofhospitaland