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目的探讨Bakri子宫填塞球囊导管在治疗凶险型前置胎盘剖宫产术中的临床效果。方法回顾性分析2012年3月-2015年10月佛山市妇幼保健院收治的41例凶险型前置胎盘患者的临床资料,术中应用Bakri子宫填塞球囊导管者21例为研究组,术中应用宫腔纱布填塞者20例为对照组。对两组患者的年龄、孕次、产次、孕龄、手术时间、术中出血量、术后24 h总出血量、产褥病率进行对比分析。结果两组比较,患者年龄、孕次、产次、孕龄差异无统计学意义(P>0.05)。研究组手术时间短于对照组,术中出血量、术后24 h总出血量、产褥病率均少于对照组,差异有统计学意义(P<0.05)。结论在凶险型前置胎盘剖宫产术中放置Bakri子宫填塞球囊导管操作简单,能快速有效控制子宫出血,不增加产褥病率,值得临床推广使用。
Objective To investigate the clinical effect of Bakri uterine balloon catheter in the treatment of dangerous placenta previa cesarean section. Methods The clinical data of 41 patients with malignant placenta previa admitted from March 2012 to October 2015 in Foshan MCH hospital were analyzed retrospectively. Twenty-one patients underwent Bakri intrauterine balloon catheterization during the operation. Application of uterine gauze packing 20 cases as control group. The age, gestational age, delivery time, gestational age, operation time, intraoperative blood loss, total blood loss at 24 h after operation and the rate of puerperal were compared between the two groups. Results There were no significant differences in age, gestational age, parity and gestational age between the two groups (P> 0.05). The operation time of the study group was shorter than that of the control group. The amount of bleeding during operation, the total amount of bleeding at 24 hours and the rate of puerperal obstruction were all less than those in the control group (P <0.05). Conclusions The placement of Bakri uterus stuffed balloon catheter in cesarean section of dangerous placenta previa is simple and can control uterine bleeding quickly and effectively without increasing the rate of puerperal. It is worth to be used clinically.