妇产与遗传（电子版）
婦產與遺傳（電子版）
부산여유전（전자판）
Obstetrics-Gynecology and Genetics(Electronic Edition)
2014年
1期
33-36
,共4页
早期子宫瘢痕妊娠%宫腔镜手术%自制小水囊%压迫止血
早期子宮瘢痕妊娠%宮腔鏡手術%自製小水囊%壓迫止血
조기자궁반흔임신%궁강경수술%자제소수낭%압박지혈
Early caesarean scar pregnancypregnancy%Hysteroscopy surgery%Self-made small balloon%Compression hemostasis
目的：评价自制小水囊在宫腔镜手术治疗早期子宫瘢痕妊娠中压迫止血的疗效。方法回顾性分析2009年7月至2012年7月珠海香洲区人民医院妇产科收治的40例早期子宫瘢痕妊娠患者的临床资料，所有患者在进行宫腔镜手术中发生困难止血时将自制小水囊送入宫腔注入温生理盐水15~20 ml进行宫腔压迫，12~24 h后取出并记录各项指标。结果所有病例操作时间（68.6±22.85）s，显效时间（188.5±56.6）s，填塞物留置时间（15.5±2.8）h，术中出血量（190.5±50.2）ml，术后2 h出血量（10.7±5.6）ml，术后12 h出血量（15.5±5.5）ml，取出过程出血量（5.5±5.0）ml，术后24 h出血量（25.0±5.7）ml，术后48 h出血量（28.0±5.4）ml。结论自制小水囊在治疗早期子宫瘢痕妊娠宫腔镜手术中压迫止血疗效显著，具有快速、安全、经济、可靠的优势，值得在各级医院推广。
目的：評價自製小水囊在宮腔鏡手術治療早期子宮瘢痕妊娠中壓迫止血的療效。方法迴顧性分析2009年7月至2012年7月珠海香洲區人民醫院婦產科收治的40例早期子宮瘢痕妊娠患者的臨床資料，所有患者在進行宮腔鏡手術中髮生睏難止血時將自製小水囊送入宮腔註入溫生理鹽水15~20 ml進行宮腔壓迫，12~24 h後取齣併記錄各項指標。結果所有病例操作時間（68.6±22.85）s，顯效時間（188.5±56.6）s，填塞物留置時間（15.5±2.8）h，術中齣血量（190.5±50.2）ml，術後2 h齣血量（10.7±5.6）ml，術後12 h齣血量（15.5±5.5）ml，取齣過程齣血量（5.5±5.0）ml，術後24 h齣血量（25.0±5.7）ml，術後48 h齣血量（28.0±5.4）ml。結論自製小水囊在治療早期子宮瘢痕妊娠宮腔鏡手術中壓迫止血療效顯著，具有快速、安全、經濟、可靠的優勢，值得在各級醫院推廣。
목적：평개자제소수낭재궁강경수술치료조기자궁반흔임신중압박지혈적료효。방법회고성분석2009년7월지2012년7월주해향주구인민의원부산과수치적40례조기자궁반흔임신환자적림상자료，소유환자재진행궁강경수술중발생곤난지혈시장자제소수낭송입궁강주입온생리염수15~20 ml진행궁강압박，12~24 h후취출병기록각항지표。결과소유병례조작시간（68.6±22.85）s，현효시간（188.5±56.6）s，전새물류치시간（15.5±2.8）h，술중출혈량（190.5±50.2）ml，술후2 h출혈량（10.7±5.6）ml，술후12 h출혈량（15.5±5.5）ml，취출과정출혈량（5.5±5.0）ml，술후24 h출혈량（25.0±5.7）ml，술후48 h출혈량（28.0±5.4）ml。결론자제소수낭재치료조기자궁반흔임신궁강경수술중압박지혈료효현저，구유쾌속、안전、경제、가고적우세，치득재각급의원추엄。
Objective Evaluate the efficacy and feasibility of the self-made ballon for hemostasis in the early caesarean scar pregnancy hysteroscopy surgery. Method The clinical data of 40 cases of early caesarean scar pregnancy patients treated in the department of gynecology and obstetrics in our hospital from July 2009 to July 2012 were retrospectively analyzed. All patients were put into the self-made small balloon which was injected 15~20ml warm saline into the uterine cavity and carried uterine compression to stop bleeding during hysteroscopy surgery, the balloon was removed after 12~24 hours and the results were recorded. Results The self-made small balloon can effectively stop bleeding. The operation time was (68.6 ± 22.85)s, the effective time was(188.5 ± 56.6)s, and the stuffing retention time was(15.5 ± 2.8)h, the amount of bleeding was(190.5 ± 50.2)ml during the operation, the amount of bleeding was(10.7 ± 5.6)and( 15.5±5.5)ml respectively within 2 and 12 hours after the operation, the amount of bleeding was( 5.5±5.0)ml while removing the balloon, the amount of bleeding was( 25.0 ± 5.7)and(28.0 ± 5.4)ml respectively within 24 and 48 hours after remove the water sac. Conclusions The self-made balloon placed intrauterine is a fast, safe, reliable and economic therapy for compression hemostasis in the early caesarean scar pregnancy hysteroscopy surgery. It is worth popularizing in primary hospitals.
