CAJ | 학술논문

目的探讨应用子宫填塞球囊导管治疗产后出血的疗效及安全性.方法对我院2010年1月-2012年2月,24例使用子宫填塞球囊导管治疗产后出血患者进行回顾性分析.患者年龄22～34岁,平均27.5岁,其中产后出血病因宫缩乏力12例、前置胎盘4例,胎盘粘连8例.结果全部病例均能应用子宫填塞球囊导管达到止血目的,无一例行子宫切除术.一次止血有效率达91.6％.2例患者出现再发出血,再次充盈气囊止血后,两例患者于24小时再尝试取出水囊,未再发大出血,总止血有效率达100％.无一例需行子宫切除术或死亡,术后随访1～24个月,24例均能正常子宫复旧,恢复月经时间1～3个月,无一例出现产褥期感染,及卵巢早衰症状.结论应用子宫填塞球囊导管治疗产后出血是一种安全、有效的治疗方式,值得临床推广应用.
목적 탐토응용자궁전새구낭도관치료산후출혈적료효급안전성.방법 대아원2010년1월-2012년2월,24례사용자궁전새구낭도관치료산후출혈환자진행회고성분석.환자년령22～34세,평균27.5세,기중산후출혈병인궁축핍력12례、전치태반4례,태반점련8례.결과 전부병례균능응용자궁전새구낭도관체도지혈목적,무일례행자궁절제술.일차지혈유효솔체91.6％.2례환자출현재발출혈,재차충영기낭지혈후,량례환자우24소시재상시취출수낭,미재발대출혈,총지혈유효솔체100％.무일례수행자궁절제술혹사망,술후수방1～24개월,24례균능정상자궁복구,회복월경시간1～3개월,무일례출현산욕기감염,급란소조쇠증상.결론 응용자궁전새구낭도관치료산후출혈시일충안전、유효적치료방식,치득림상추엄응용.
Objective To investigate the efficacy and safety of uterine tamponade with balloon catheter for the treatment of postpartum hemorrhage.Methods The data on 24 patients with postpartum hemorrhage who had received uterine tamponade with balloon catheter during the period of January 2010 to February 2012 were retrospectively analyzed.The average age of the patients was 27.5 years old ( 22-34 ).Of the 24 patients,12 had uterine inertia,4 had placenta previa,and 8 had placenta accrete.Results All the patients were cured by uterine tamponade with balloon catheter,and no one needed to undergo hysterectomy.The primary effectiveness rate of hemostasis was 91.6％.Two patients had rebleeding,and the tamponade balloon was inflated again to stop bleeding.The tamponade balloon was removed after 24 hours.None had rebleeding,nor hysterectomy needed.The total effectiveness rate of hemostasis was 100％.No patients required hysterectomy or were dead.All the patients were followed up for 1 to 24 months postoperatively and had a normal uterine involution and menstrual restoration within 1 to 3 months.No puerperal infection or symptoms of premature ovarian failure occurred.Conclusions Application of uterine tamponade with balloon catheter in the treatment of postpartum hemorrhage is safe,effective,and worth popularizing clinically.