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目的:分析宫腔内放置球囊治疗子宫瘢痕妊娠患者在人工流产术中大出血的临床效果。方法:在2010年1月-2015年6月本院收治的子宫瘢痕妊娠患者中,抽选46例作为研究对象,均采用人工流产术,按照大出血的不同处理方式分为两个组别,每组23例。其中一组采用宫腔内填塞纱布疗法,另一组采用宫腔内置入球囊疗法。观察患者的止血效果,比较术后并发症情况。结果:观察组患者手术时间短、术后出血量低,和对照组相比差异鲜明;观察组在腹痛、发热、感染上出现1例(4.3%),对照组出现7例(30.4%),组间比较,差异具有统计学意义(P<0.05)。结论:子宫瘢痕妊娠患者在人工流产术中容易引发大出血,宫腔内放置球囊进行压迫止血效果确切,具有操作简单、术后并发症少的优点,是一种安全有效的处理方法。
OBJECTIVE: To analyze the clinical effect of intrauterine balloon placement in the treatment of patients with uterine scar pregnancy with hemorrhage in induced abortion. Methods: From January 2010 to June 2015, 46 patients with uterine scar pregnancy treated in our hospital were selected as the study objects. All patients were treated with artificial abortion, and were divided into two groups according to the different treatment of major bleeding. Group of 23 cases. One group used intrauterine gauze therapy, while the other group used intrauterine balloon therapy. Observe the hemostatic effect of patients, compare the postoperative complications. Results: The observation group had a shorter operation time and a lower postoperative blood loss compared with the control group. One case (4.3%) in the observation group had abdominal pain, fever and infection, and seven cases (30.4%) in the control group, The differences between the two groups were statistically significant (P <0.05). Conclusion: Patients with uterine scar pregnancy are prone to cause hemorrhage in induced abortion. The placement of balloon in the uterine cavity for exact hemostasis has the advantages of simple operation and less postoperative complications, which is a safe and effective treatment.