Foley导尿管在清宫术中大出血时的应用
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摘要
目的探讨Foley导尿管在清宫术中大出血时的应用效果。方法回顾性分析清宫术中大出血病例28例,随机分为对照组与观察组,观察组给予宫腔内放置Foley导尿管压迫止血,对照组给予常规止血、促宫缩治疗。结果药物流产患者中观察组与对照组,各6例。观察组出血量(220.00±7.07)mL,低于对照组的(253.33±6.83)mL;手术时间(17.00±1.55)min,短于对照组(22.50±1.87)min;出血时间(9.17±1.17)d,短于对照组(13.50±1.38)d,差异均有统计学意义(P<0.01)。剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)患者中观察组与对照组,各8例。观察组出血量(291.75±8.76)mL,少于对照组的(383.75±9.16)mL;手术时间(21.63±2.6)min,短于对照组(30.50±2.39)min;出血时间(16.88±1.73)d,短于对照组(21.50±1.77)d,差异均有统计学意义(P<0.01)。结论清宫术中出现大出血时,宫腔内留置Foley导尿管是一种紧急、有效的止血方法。
Objective To explore the application of Foley catheter in the hemorrhea of curettage. Methods 28 cases of hemorrhea of curettage were divided into observation group and control group. Foley catheter was used in observation group,drugs for promoting uterine contraction were used in control group. Results In the drug abortion patients,the blood transfusion,operation time and bleeding time of the observation group were significantly reduced than the control group.(220.0±7.07)mL vs(253.33±6.83)mL;(17.00±1.55)min vs(22.50±1.87)min. The difference was statistically significant(9.17±1.17)day vs(13.50±1.38)day,the difference was statiscally significant(P<0.01). In the cesarean scar pregnancy patients,the blood transfusion(mL),operation time(min)and bleeding time(day) of observation group were significantly reduced than the control group.(291.75±8.76)mL vs(383.75±9.16)mL;(21.63±2.60) min, shorter than the control group(30.50±2.39)min;(16.88±1.73)day, shorter than the control group(21.5±1.77)day, the difference was statistically significant(P<0.01). Conclusion The application of Foley catheter in the hemorrhea of curettage is effective,especially in primary hospital.
Objective To explore the application of Foley catheter in the hemorrhea of curettage. Methods 28 cases of hemorrhea of curettage were divided into observation group and control group. Foley catheter was used in observation group,drugs for promoting uterine contraction were used in control group. Results In the drug abortion patients,the blood transfusion,operation time and bleeding time of the observation group were significantly reduced than the control group.(220.0±7.07)mL vs(253.33±6.83)mL;(17.00±1.55)min vs(22.50±1.87)min. The difference was statistically significant(9.17±1.17)day vs(13.50±1.38)day,the difference was statiscally significant(P<0.01). In the cesarean scar pregnancy patients,the blood transfusion(mL),operation time(min)and bleeding time(day) of observation group were significantly reduced than the control group.(291.75±8.76)mL vs(383.75±9.16)mL;(21.63±2.60) min, shorter than the control group(30.50±2.39)min;(16.88±1.73)day, shorter than the control group(21.5±1.77)day, the difference was statistically significant(P<0.01). Conclusion The application of Foley catheter in the hemorrhea of curettage is effective,especially in primary hospital.
引文
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[8] 黄碧瑗,吴兰,李婷.米非司酮、局部注射甲氨蝶呤联合可视人流吸宫及Foley导尿管压迫止血保守治疗剖宫产瘢痕妊娠的临床研究[J].中国实用医药,2017,12(8):23-26.
[9] 原玮,曹树军,朱春梅.球囊压迫止血成功救治子宫切口妊娠流产并失血性休克一例[J].中国全科医学,2010,13(2):133.
[10] 李海英,乔新民,汪霆.Foley导尿管球囊压迫术联合子宫下段缩窄术预防产后出血[J].中国实用妇科与产科杂志,2017,33(2):214-216.
[2] ROTAS M A,HABERMAN S,LEVGUR M.Cesarean scar ectopic pregnancies:etiology,diagnosis,and management[J].Obstet Gynecol,2006,107(6):1373 -1381.
[3] 苏翠红.剖宫产子宫切口憩室的诊疗进展[J].实用妇产科杂志,2013,40(4):262-264.
[4] 中华医学会妇产科学分会计划生育学组.剖宫产术后子宫瘢痕妊娠诊治专家共识(2016)[J].中华妇产科杂志,2016,51(8):568-572.
[5] 黄四新,王丽桃,李浒春.双腔球囊治疗瘢痕子宫妊娠流产宫腔出血7例报告[J].实用临床医学,2009,10(9):77.
[6] 杨媛,胡洁.人工流产后出血应用气囊压迫止血治疗1例[J].实用妇产科杂志,2011,27(1):38.
[7] 秦福杰,王洁华,翁玲珺,等.宫腔放置水囊压迫止血在子宫瘢痕妊娠治疗中的临床应用[J].齐齐哈尔医学院学报,2016,37(10):1327-1328.
[8] 黄碧瑗,吴兰,李婷.米非司酮、局部注射甲氨蝶呤联合可视人流吸宫及Foley导尿管压迫止血保守治疗剖宫产瘢痕妊娠的临床研究[J].中国实用医药,2017,12(8):23-26.
[9] 原玮,曹树军,朱春梅.球囊压迫止血成功救治子宫切口妊娠流产并失血性休克一例[J].中国全科医学,2010,13(2):133.
[10] 李海英,乔新民,汪霆.Foley导尿管球囊压迫术联合子宫下段缩窄术预防产后出血[J].中国实用妇科与产科杂志,2017,33(2):214-216.