CAJ | 학술논문

目的：探讨Bakri子宫填塞球囊导管对产后出血的治疗效果，总结应用经验。方法对64例分娩发生产后出血、应用Bakri子宫填塞球囊导管治疗的患者进行回顾性病例分析，总结患者临床特点，分析Bakri子宫填塞球囊导管对产后出血的治疗效果，总结应用经验。将放置Bakri子宫填塞球囊导管后出血减少，无需采取其他治疗措施者定义为治疗成功。结果研究期间应用Bakri子宫填塞球囊导管患者共64例，产后出血原因主要为子宫收缩乏力、胎盘剥离面出血、胎盘植入， Bakri子宫填塞球囊导管治疗产后出血成功60例，成功率为94％，4例治疗失败中有3例合并胎盘植入。结论 Bakri子宫填塞球囊导管应用相对简便，可以实时观察出血量，有效治疗产后出血，减少出血量，胎盘植入可能是放置Bakri球囊导管治疗失败的因素之一。
목적：탐토Bakri자궁전새구낭도관대산후출혈적치료효과，총결응용경험。방법대64례분면발생산후출혈、응용Bakri자궁전새구낭도관치료적환자진행회고성병례분석，총결환자림상특점，분석Bakri자궁전새구낭도관대산후출혈적치료효과，총결응용경험。장방치Bakri자궁전새구낭도관후출혈감소，무수채취기타치료조시자정의위치료성공。결과연구기간응용Bakri자궁전새구낭도관환자공64례，산후출혈원인주요위자궁수축핍력、태반박리면출혈、태반식입， Bakri자궁전새구낭도관치료산후출혈성공60례，성공솔위94％，4례치료실패중유3례합병태반식입。결론 Bakri자궁전새구낭도관응용상대간편，가이실시관찰출혈량，유효치료산후출혈，감소출혈량，태반식입가능시방치Bakri구낭도관치료실패적인소지일。
Objective To evaluate the therapeutic efficacy of Bakri uterine tamponade with balloon catheter in the treatment of postpartum hemorrhage and summarize the application experience. Methods Clin-ical data of 64 patients with postpartum hemorrhage undergoing Bakri uterine tamponade with balloon catheter were retrospectively analyzed. Clinical characteristics were summarized to evaluate clinical effect of Bakri uter-ine tamponade with balloon catheter in the treatment of postpartum hemorrhage and application experience was accumulated. Cases of bleeding reduction without the requirement of undergoing any other treatment were de-fined as successful treatment. Results Sixty-four patients were enrolled in this study. The causes of postpar-tum hemorrhage included uterine inertia,hemorrhage from the stripping surface of placenta and placenta im-plantation. The success rate of postpartum hemorrhage treatment was 94%. Among four patients with treatment failure,three had placenta implantation. Conclusions Application of Bakri uterine tamponade with balloon catheter is a simple procedure,which can observe the quantity of bleeding in a real-time manner,effectively treat postpartum hemorrhage and reduce the amount of hemorrhage. Placenta implantation may be one of rea-sons resulting in treatment failure.