文章摘要

双联法治疗中央性前置胎盘产后出血的疗效

作者: 1宋伟夫, 1张晶, 1魏娜, 1贾幸花, 1朱颖, 1朱丽萍
1 秦皇岛市妇幼保健院妇产科,河北 秦皇岛 066000
通讯: 宋伟夫 Email: swfswf0212@163.com
DOI: 10.3978/j.issn.2095-6959.2019.12.021

摘要

目的:探讨子宫压迫缝合联合宫腔球囊压迫双联法治疗中央性前置胎盘产后出血的疗效及安全性。方法:回顾分析2015年1月至2018年11月秦皇岛市妇幼保健院产科中央性前置胎盘行剖宫产时发生产后出血的60例患者,其中子宫压迫缝合联合宫腔球囊压迫组29例,为双联法组;单纯子宫压迫缝合组31例,为缝合组。比较两组治疗产后出血的有效性、手术时间、术中和术后出血量、产后并发症及住院时间。结果:双联法组的止血效果优于缝合组(P=0.039),双联法组的手术时间、术中及术后24 h出血量明显少于对照组(均P<0.05),双联法组与缝合组产后并发症及住院时间比较,差异无统计学意义(均P>0.05)。结论:子宫压迫缝合联合宫腔球囊压迫双联法治疗中央性前置胎盘产后出血的疗效优于单独使用子宫压迫缝合。
关键词: 宫腔球囊压迫;子宫压迫缝合;中央性前置胎盘;产后出血

Efficacy of postpartum hemorrhage for patients with central and previa placenta by duplex methods

Authors: 1SONG Weifu, 1ZHANG Jing, 1WEI Na, 1JIA Xinghua, 1ZHU Ying, 1ZHU Liping
1 Department of Obstetrics and Gynecology, Maternal & Child Care Center of Qinhuangdao, Qinhuangdao Hebei 066000, China

CorrespondingAuthor: SONG Weifu Email: swfswf0212@163.com

DOI: 10.3978/j.issn.2095-6959.2019.12.021

Abstract

Objective: To investigate treatment efficacy and safety of intrauterine balloon compression combined with uterine compression suture for patients with central and previa placenta with postpartum hemorrhage. Methods: Sixty patients with the central and previa placenta, who were treated at Qinhuangdao Maternal and Child Health Hospital from January 2015 to November 2018, were selected and their treatment data was retroactively analyzed. The duplex-methods group consisted of 29 patients treated by the uterine balloon compression combined with uterine compression suture. Thirty-one patients treated by the uterine compression suture was the suture group. The treatment efficacy, operative time, intraoperative and postoperative bleeding, postpartum complications, and length of stay (LOS) of the two groups were compared. Results: The hemostasis effect of the duplex-methods group was better than the suture group (P=0.039). The operation time, intraoperative and 24 h postoperative bleeding of the suture group was less than that of the duplex-methods group (both P<0.05). There were no significant differences for postpartum complications and LOS between these two groups (both P>0.05). Conclusion: The treatment efficacy for postpartum hemorrhage in patients with central and previa placenta treated by the intrauterine balloon compression combined with uterine compression suture was superior than the uterine compression suture used alone.
Keywords: intrauterine balloon compression; uterine compression suture; central and previa placenta; postpartum hemorrhage