CAJ | 학술논문

目的：评价Bakri球囊填塞术治疗难治性产后出血的临床疗效。方法回顾性分析2013年6月至2014年6月本院难治性产后出血并使用Bakfi球囊治疗的产妇12例，总结分析病例特点及止血治疗效果。结果单纯应用 Bakri球囊填塞止血成功8例，应用Bakri球囊填塞同时行子宫动脉下行支结扎术止血成功3例，放置球囊后失败而行子宫切除术1例。11例止血治疗成功并保留子宫的产妇，术后无发热、子宫内膜炎、切口感染、子宫切口愈合不良以及子宫坏死等并发症发生，产后6 w随访，无晚期产后岀血发生。结论 Bakri球囊填塞术作为产后出血的保守治疗方法，其操作简单、止血疗效肯定、无术后并发症，具有临床推广应用价值。
목적：평개Bakri구낭전새술치료난치성산후출혈적림상료효。방법회고성분석2013년6월지2014년6월본원난치성산후출혈병사용Bakfi구낭치료적산부12례，총결분석병례특점급지혈치료효과。결과단순응용 Bakri구낭전새지혈성공8례，응용Bakri구낭전새동시행자궁동맥하행지결찰술지혈성공3례，방치구낭후실패이행자궁절제술1례。11례지혈치료성공병보류자궁적산부，술후무발열、자궁내막염、절구감염、자궁절구유합불량이급자궁배사등병발증발생，산후6 w수방，무만기산후출혈발생。결론 Bakri구낭전새술작위산후출혈적보수치료방법，기조작간단、지혈료효긍정、무술후병발증，구유림상추엄응용개치。
Objective To evaluate the clinical effectiveness of intrauterine Bakri balloon tamponade in the treatment of intractable post-partum haemorrhage. Methods A retrospective study of 12 patients who underwent Bakri balloon insertion after unsuccessful medical management of post-partum haemorrhage. The clinical characteristics and hemostatic effects were summarized and analyzed. Results Intrauterine Bakri balloon tamponade was successfully used to stop the post-partum haemorrhage in 8 cases. Bakri balloon tamponade in combination with uterine artery descending branch ligation was used successfully to stop the post-partum haemorrhage in 3 cases. Hysterectomy was performed in 1 case after the failure of Bakri balloon tamponade. Among the 11 cases of lying-in woman who were cured successfully and retained the womb, no fever, endometritis, incision infection, poor healing of uterus incision and u-terine necrosis or other complications occurred after operation. And no more post-partum haemorrhage occurred in 6 weeks. Conclu-sion Bakri balloon tamponade, as a conservative procedure in the treatment of post-partum haemorrhage, proves to be simple, ef-fective and safe, worth of clinical popularization and application.