[1]何佳佳.宫腔球囊填塞在瘢痕子宫伴胎盘植入孕妇中孕期引产的应用效果[J].中国计划生育和妇产科,2019,(5):29-32.
　HE Jia-jia.Application effect of uterine cavity balloon tamponade in the induction of labor during mid pregnancy in women with scar uterus pregnancy and placenta implantation[J].Chinese Journal of Family Planning & Gynecotokology,2019,(5):29-32.
点击复制

宫腔球囊填塞在瘢痕子宫伴胎盘植入孕妇中孕期引产的应用效果
分享到：

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2019年5期
页码:
29-32
栏目:
论著与临床
出版日期:
2019-05-25

文章信息/Info

Title:
Application effect of uterine cavity balloon tamponade in the induction of labor during mid pregnancy in women with scar uterus pregnancy and placenta implantation
作者:
何佳佳
垫江县人民医院妇产科
Author(s):
HE Jia-jia
Department of Obstetrics and Gynecology, Dianjiang County People's Hospital, Chongqing 408300,P.R.China
关键词:
宫腔球囊填塞; 中孕期; 瘢痕子宫; 胎盘植入; 引产; 应用效果
Keywords:
uterine cavity balloon tamponade; mid pregnancy; scar uterus; placenta implantation; induced labor; application effect
分类号:
R 714.2
摘要:
目的 探讨宫腔球囊填塞在瘢痕子宫伴胎盘植入孕妇中孕期引产中的应用效果。方法选取垫江县人民医院2015年5月至2018年4月收治的孕14～28周瘢痕子宫伴胎盘植入引产患者70例，采用随机数字表法分为研究组与对照组，各35例。两组均给予米非司酮联合依沙吖啶或米非司酮联合米索前列醇引产，胎盘娩出后，均给予按压子宫及宫缩剂，在此基础上对照组另给予宫腔塞纱处理，研究组另给予宫腔球囊填塞。观察两组止血处理后2 h、12 h及24 h出血量，比较两组患者输血情况、子宫动脉栓塞情况及住院时间，引产后不良事件发生情况。结果研究组止血处理后2 h、12 h及24 h出血量、输血率、子宫动脉栓塞率、住院时间、引产后不良事件总发生率均少于对照组（P＜005）。结论宫腔球囊填塞可显著控制瘢痕子宫伴胎盘植入中孕期引产患者产后出血，减少患者输血及行子宫动脉栓塞的需求，并可减少不良事件发生，缩短住院时间，对临床预防引产患者产后出血具有重要意义。
Abstract:
ObjectiveTo explore the application effect of uterine cavity balloon tamponade in the induction of labor during mid pregnancy in women with scar uterus pregnancy and placenta implantation. Methods70 patients of induced labor with scar uterus and placenta implantation during 14 to 28 weeks of gestation from May 2015 to April 2018 in Dianjiang County People's Hospital were selected, who were divided into study group and control group by random number table, and there were 35 cases in each group. Both groups were given mifepristone combined with ethacridine or mifepristone combined with misoprostol to induce labor, and all of them were given pressing the uterus and uterine contraction agent after delivery of the placenta, and the control group was additionaly given uterine plug gauze, while the study group was additionaly given the uterine cavity balloon tamponade. The bleeding volume of 2 h, 12 h and 24 h after hemostasis treatment were compared between the two groups, and the blood transfusion, uterine artery embolization and hospitalization time were compared, and the adverse events after induced labor were observed. ResultsThe bleeding volume at 2 h, 12 h, and 24 h after hemostasis, blood transfusion rate, uterine artery embolization rate, hospitalization time, and total incidence of adverse events after induction of labor in the study group were lower than those in the control group (P<005). ConclusionThe uterine cavity balloon tamponade can significantly control the postpartum hemorrhage in the induced labor patients with scar uterus and placenta implantation during the mid pregnancy, reduce the need for blood transfusion and uterine artery embolization, and reduce the adverse events and shorten the time of hospitalization, which is of great significance for the clinical prevention of postpartum hemorrhage in the patients with induced labor.

参考文献/References:

［1］POMORSKI M，FUCHS T，ROSNER-TENEROWICZ A A. Morphology of the cesarean section scar in the non-pregnant uterus after one elective cesarean section ［J］. Ginekologia Polska，2017，88 (4): 174-179. ［2］王姝，金力，郎景和，等．剖宫产术后子宫瘢痕妊娠继发早期胎盘植入的诊断及临床处理 ［J］．中华妇产科杂志，2015，50（11）：878-880． ［3］王之珺．米非司酮联合米索前列醇在不同特征瘢痕子宫中期引产中的疗效及安全性分析［J］．国际妇产科学杂志，2016，43（4）：471-474． ［4］刘岚，芮璨，樊晟，等．胎盘植入引起产后出血72例临床分析 ［J］．江苏医药，2016，42（16）：1819-1821． ［5］刘琦，方华英，符绿雨．安列克联合宫腔球囊填塞治疗前置胎盘剖宫产产后出血疗效观察 ［J］．海南医学，2017，28（14）：2373-2374． ［6］PISKUNOVA E V. Clinical significance of office hysteroscopy in examination algorithm of partly faulty uterus scar after cesarean section on the stage of pregnancy planning ［J］. Journal of Minimally Invasive Gynecology，2016，22 (6S): S 190. ［7］MOSAD A，ALTRAIGEY A. Scar pregnancy and spontaneous rupture uterus - a case report ［J］. Ginekologia Polska，2017，88 (12): 698-699. ［8］罗玉辉，任黔川，魏宇．宫腔镜下清宫术联合甲氨蝶呤灌注及栓塞治疗胎盘植入的疗效观察 ［J］．中国妇幼健康研究，2017，28（4）：469-471． ［9］凌丹，赵仁峰，胡晓霞．垂体后叶素联合碘仿纱条在宫颈冷刀锥形切除术中的应用价值 ［J］．中国妇幼保健，2014，29（22）：3698-3700． ［10］张建梅，洪博，王莉．米非司酮辅助Bakri球囊填塞术在凶险性前置胎盘中的应用及预后影响 ［J］．中国妇幼健康研究，2017，28（6）：676-677，693． ［11］贾金平，江玉华．Bakri球囊宫腔填塞术联合子宫动脉结扎术治疗严重产后出血的疗效［J］．中国妇幼保健，2017，32（14）：3381-3383． ［12］谢淑琴，蔡庆华．宫腔球囊填塞止血在剖宫产术后出血并发DIC病例报告 ［J］．中国现代医学杂志，2017，27（4）：141-142． ［13］REVERT M，ROZENBERG P，COTTENET J A. Intrauterine balloon tamponade for severe postpartum hemorrhage ［J］. Obstetrics and Gynecology，2018，131 (1): 143-149. ［14］孟秀芳．剖宫产术中Bakri球囊填塞联合卡前列素氨丁三醇治疗高危难治性产后出血的临床研究 ［J］．医学临床研究，2017，34（10）：2018-2020． ［15］王骧，汤容．宫腔球囊联合卡前列素氨丁三醇治疗凶险性前置胎盘的临床效果观察 ［J］．检验医学，2016，31（b11）：221-222． ［16］ROZENBERG P，REVERT M. Re: intrauterine balloon tamponade for management of severe postpartum haemorrhage in a perinatal network: a prospective cohort study reply ［J］. BJOG-An International Journal of Obstetrics and Gynaecology，2017，124 (11): 1793-1794. ［17］魏素梅，杨霄，闫咨儒．Bakri球囊填塞治疗中央型前置胎盘临床疗效评价 ［J］．四川医学，2016，37（4）：361-364． ［18］孟珍妮，全思洁，黄一颖，等．Bakri球囊填塞与子宫压迫缝合术治疗中央性前置胎盘产后出血的疗效评价 ［J］．国际妇产科学杂志，2017，44（6）：629-632． ［19］李艳，陈春梅，罗丹，等．介入术联合宫腔球囊在减少凶险性前置胎盘剖宫产术中出血的应用 ［J］．四川医学，2015，36（10）：1426-1429． ［20］赵得雄，张建青，谢玲，等．止血带联合子宫填塞球囊导管压迫止血在前置胎盘剖宫产术中的应用观察 ［J］．山东医药，2015，55（24）：43-44．

相似文献/References:

[1]蒋镌,彭萍,刘欣燕,等.中孕期死胎的危险因素分析[J].中国计划生育和妇产科,2016,(11):0.
　JIANG Juan,PENG Ping,LIU Xin-yan,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2016,(5):0.
[2]倪萍,彭景,杨微涛*,等.11例双胎妊娠中孕期选择性减胎治疗临床分析[J].中国计划生育和妇产科,2020,(9):42.
　NI Ping,PENG Jing,YANG Weitao*,et al.Clinical analysis of 11 cases of selective pregnancy reduction in twin pregnancy[J].Chinese Journal of Family Planning & Gynecotokology,2020,(5):42.

备注/Memo

备注/Memo:
重庆市卫生计划项目（项目编号：2017ZBXM056）
更新日期/Last Update: 2019-05-25