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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究,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24 h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24 h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(P>0.05)。Bakri组产褥病发生率低于宫腔塞纱组,但差异无统计学意义(P>0.05)。Bakri组手术时间为(55.4±9.1)min,短于宫腔塞纱组的(58.8±8.5)min,差异有统计学意义(P<0.05)。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。
Objective To investigate the clinical efficacy of Bakri uterine balloon tamponade and uterine plug yarn in cesarean section with placenta previa. Methods A retrospective study of 114 patients with cesarean placenta previa, of which 66 patients undergoing Bakri intrauterine balloon catheterization was performed in the Bakri group, 48 patients undergoing uterine plug yarn as the uterine plug yarn group, The blood loss, hemostatic success rate, operation time, emergency surgery, hysterectomy rate, the incidence of puerperal disease and hospital stay were compared between the two groups. Results There was no significant difference in the amount of hemorrhage, the success rate of hemostasis, the proportion of emergency operation and hospital stay at 24 hours after operation in both groups (P> 0.05). The incidence of putrid disease in Bakri group was lower than that in Uterine balloon plug group, but the difference was not statistically significant (P> 0.05). The operation time in Bakri group was (55.4 ± 9.1) min, which was shorter than that in the control group (58.8 ± 8.5) min, the difference was statistically significant (P <0.05). No cases of hysterectomy in both groups. Conclusion Bakri uterine balloon tamponade and uterine plug yarn can be used as a conservative treatment in placenta previa. The curative effect of hemostasis is definite with few complications.