国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
23期
49-52
,共4页
宫颈环扎术%球囊压迫宫腔%难治性产后出血
宮頸環扎術%毬囊壓迫宮腔%難治性產後齣血
궁경배찰술%구낭압박궁강%난치성산후출혈
Cervical cerclage%Intrauterine balloon pressure%Intractable postpartum hemorrhage
目的 探讨宫颈环扎术及球囊压迫宫腔在难治性产后出血中的临床疗效.方法 选择2007年2月15日-2009年10月10日收治的难治性产后出血患者56例,所有患者均药物治疗效果不佳,且处于休克状态不能控制出血时,按照止血方式的不同.随机分为观察组和对照组各28例.观察组28例采用宫颈环扎术及球囊压迫官腔的方法治疗难治性产后出血.对照组28例则行子宫切除术治疗难治性产后出血.并比较两组的手术时间、住院时间、有效率等临床上止血方法的效果.结果 观察组28例采用官颈环扎术及球囊压迫官腔止血方法治疗的难治性产后出血,止血有效率为100%,术后子宫复旧好,保留了子宫及其生理功能,无严重的并发症发生,对照组28例采用常规性子宫切除术止血的有效率为89.29%.两组止血效果、手术时间、住院时间等比较差异有显著性(P<0.05).结论 宫颈环扎术及球囊压迫宫腔止血法简单易行,止血迅速可靠,效果好,保留了患者子宫和生育功能,有显著的优点及临床的实用价值,可替代子宫切除术,值得在基层医院大力推广.
目的 探討宮頸環扎術及毬囊壓迫宮腔在難治性產後齣血中的臨床療效.方法 選擇2007年2月15日-2009年10月10日收治的難治性產後齣血患者56例,所有患者均藥物治療效果不佳,且處于休剋狀態不能控製齣血時,按照止血方式的不同.隨機分為觀察組和對照組各28例.觀察組28例採用宮頸環扎術及毬囊壓迫官腔的方法治療難治性產後齣血.對照組28例則行子宮切除術治療難治性產後齣血.併比較兩組的手術時間、住院時間、有效率等臨床上止血方法的效果.結果 觀察組28例採用官頸環扎術及毬囊壓迫官腔止血方法治療的難治性產後齣血,止血有效率為100%,術後子宮複舊好,保留瞭子宮及其生理功能,無嚴重的併髮癥髮生,對照組28例採用常規性子宮切除術止血的有效率為89.29%.兩組止血效果、手術時間、住院時間等比較差異有顯著性(P<0.05).結論 宮頸環扎術及毬囊壓迫宮腔止血法簡單易行,止血迅速可靠,效果好,保留瞭患者子宮和生育功能,有顯著的優點及臨床的實用價值,可替代子宮切除術,值得在基層醫院大力推廣.
목적 탐토궁경배찰술급구낭압박궁강재난치성산후출혈중적림상료효.방법 선택2007년2월15일-2009년10월10일수치적난치성산후출혈환자56례,소유환자균약물치료효과불가,차처우휴극상태불능공제출혈시,안조지혈방식적불동.수궤분위관찰조화대조조각28례.관찰조28례채용궁경배찰술급구낭압박관강적방법치료난치성산후출혈.대조조28례칙행자궁절제술치료난치성산후출혈.병비교량조적수술시간、주원시간、유효솔등림상상지혈방법적효과.결과 관찰조28례채용관경배찰술급구낭압박관강지혈방법치료적난치성산후출혈,지혈유효솔위100%,술후자궁복구호,보류료자궁급기생리공능,무엄중적병발증발생,대조조28례채용상규성자궁절제술지혈적유효솔위89.29%.량조지혈효과、수술시간、주원시간등비교차이유현저성(P<0.05).결론 궁경배찰술급구낭압박궁강지혈법간단역행,지혈신속가고,효과호,보류료환자자궁화생육공능,유현저적우점급림상적실용개치,가체대자궁절제술,치득재기층의원대력추엄.
Objective To investigate the clinical efficacy of the cervical cerclage and uterine balloon compression in intractable postpartum hemorrhage.Methods 56 patients with intractable postpartum hemorrhage were dealled during the time from February 15,2007 to October 10,2009.All of them were with ineffective drug therapy,in a state of shock and uncontrolled bleeding,according to the different ways to stop bleeding,they were randomly divided into two groups,and each for 28 cases/The observation group with 28 cases were dealled with cervical cerclage and uterine balloon compression for the refractory postpartum hemorrhage;and the control group with 28 cases were treated for the hysterectomy. And two groups were compared on the factors: the operative time.hospitalization time,and efficient methods such as clinical hemostatic effect.Results The haemostasia rate of the observation group was 100%,uterine involution is good after operation.retainning the uterus and its physiological function,none of severe complications occurred.In the control group.the haemostasis rate was 89.29%.Haemostatic effects,operative time.hospitalization time,etc of these two group have more statistically significance(P<0.05).Conclusions Cervical cerclage and uterine bleeding balloon-compression method are simple to use,hemostasis are fast,reliable and has good effect.it can also retain the uterus and reproductive function.it has significant clinical advantages and practical value,and can replace hysterectomy, it is worth for the hasical level hospital to spread.
