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目的探讨Foley双腔导尿管球囊在治疗剖宫产瘢痕妊娠出血中的临床应用效果。方法对16例剖宫产瘢痕妊娠大出血患者,应用宫腔放置Foley双腔导尿管球囊压迫止血。结果 16例患者宫腔放置导尿管球囊压迫后出血立即明显减少,术后阴道出血少。术后24~48 h取出球囊,患者均未再次出血。无并发症的发生,无一例行子宫切除术。结论 Foley双腔导尿管球囊治疗剖宫产瘢痕妊娠大出血效果满意,操作简单,安全有效,是临床上值得推广的方法 ,尤其在基层医院值得应用。
Objective To investigate the clinical effect of Foley dual-lumen balloon catheter in the treatment of cesarean scar pregnancy. Methods 16 cases of cesarean scar pregnancy bleeding, the application of intrauterine placement of Foley double lumen catheter hemostasis. Results 16 patients with intrauterine catheterization immediately after balloon catheter bleeding was significantly reduced, postoperative vaginal bleeding less. 24 to 48 h after removal of the balloon, the patient did not hemorrhage again. No complications occurred, without a routine hysterectomy. Conclusion Foley dual-lumen balloon catheter for cesarean scar hypertrophy pregnancy satisfactory results, simple, safe and effective, is clinically worthy of promotion, especially in the grass-roots hospitals worthy of application.