CAJ | 학술논문

目的：探讨子宫腔填塞术在剖宫产术中胎盘附着面大出血中的应用价值。方法采用回顾性方法分析，选取我院自2013年5月-2014年5月以来收治的24例剖宫产中胎盘附着面大出血患者的临床资料，所有患者均给予子宫腔填塞术治疗，分析治疗效果。并随访6周，分析随访结果。结果经过治疗，24例患者中20例患者保守治疗成功保留子宫，其临床治疗成功率达到83.33%。其中3例患者出现活动性出血，实施子宫切除成功治疗，所有患者均未出现感染症状。结论在剖宫产后胎盘附着面大出血患者中实施子宫腔填塞术，可有效提高患者子宫保留率，保障患者生育能力，值得临床大力推广应用。
목적：탐토자궁강전새술재부궁산술중태반부착면대출혈중적응용개치。방법채용회고성방법분석，선취아원자2013년5월-2014년5월이래수치적24례부궁산중태반부착면대출혈환자적림상자료，소유환자균급여자궁강전새술치료，분석치료효과。병수방6주，분석수방결과。결과경과치료，24례환자중20례환자보수치료성공보류자궁，기림상치료성공솔체도83.33%。기중3례환자출현활동성출혈，실시자궁절제성공치료，소유환자균미출현감염증상。결론재부궁산후태반부착면대출혈환자중실시자궁강전새술，가유효제고환자자궁보류솔，보장환자생육능력，치득림상대력추엄응용。
Objective To explore the application value of uterine cavity tamponade in cesarean section hemorrhage in placental surface. Methods Using the retrospective method, in our hospital from 2013 May -2014 year in May has treated 24 cases of ce-sarean section in placental surface clinical data of patients with massive hemorrhage, all patients were given the uterine cavity fill-ing operation treatment, curative effect analysis. And were followed up for six weeks, follow-up study. Results After treatment, 24 patients in 20 cases of patients were successfully treated conservatively preserve the uterus, the clinical success rate of 83.33%. A-mong the 3 patients with active bleeding, uterine resection implementation of successful treatment, all patients had no infection symptoms. Conclusion The surface attached to the placental hemorrhage after cesarean section uterine tamponade were imple-mented, can effectively improve the patients with uterine retention rate, ensure fertility patients, is worth the clinical promoted ap-plication.