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目的探讨Foley导尿管在球囊内注水压迫宫腔治疗宫腔内出血的疗效。方法收集2009年6月-2012年6月上海市第一人民医院宝山分院妇产科早孕流产出血、剖宫产术后瘢痕处妊娠(CSP)清宫时出血、宫腔镜电切宫内赘生物时出血病例32例,随机分为两组,一组将Foley导尿管注入生理盐水40～60ml置于宫腔压迫止血,水囊的另一开口接负压引流球,尿管在24～48h取出;另一组采用传统保守治疗作为相应对照。观察两组患者间的出血情况及术后恢复情况。结果两组在出血量、出血时间、住院天数、住院费用上差异均具有统计学意义(P<0.05)。结论用Fo-ley导尿管注水压迫宫腔止血有效,为治疗早孕流产出血、CSP清宫时出血、宫腔镜电切宫内赘生物时出血的有效方法。
Objective To investigate the curative effect of Foley catheters in intrauterine hemorrhage treated by water injection in the balloon. Methods June 2009 - June 2012 Shanghai Baoshan Branch of First People’s Hospital obstetrics and gynecology early pregnancy miscarriage bleeding, cesarean scar pregnancy at Cesarean section bleeding, hysteroscopic resection of intrauterine neoplasms 32 cases of hemorrhage were randomly divided into two groups, a group of Foley catheter into the normal saline 40 ~ 60ml placed in the uterine compression hemostasis, the other opening of the balloon connected negative pressure drainage ball, catheter in 24 ~ 48h Remove; the other group using traditional conservative treatment as the corresponding control. The bleeding and postoperative recovery between the two groups were observed. Results There were significant differences between the two groups in the amount of bleeding, bleeding time, hospitalization days, hospitalization costs (P <0.05). Conclusion Fo-ley catheters are effective in hydrotherapy to suppress intrauterine bleeding. It is an effective method for treating bleeding during early pregnancy, bleeding during CSP, and hysteroscopic resection of intrauterine neoplasms.