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目的探讨宫腔内放置双腔导尿管球囊压迫止血在治疗子宫出血的疗效。方法 18例有宫腔操作时(或操作后)出现子宫出血患者经一般常规保守治疗(按摩子宫、应用宫缩剂、止血药物)无效,宫腔内放置双腔导尿管行球囊注水压迫止血,观察止血情况。结果 18例患者经球囊压迫止血后子宫出血明显减少,球囊压迫止血期间出血量为10~100 ml,术后无并发症发生。结论宫腔内放置双腔导尿管球囊压迫止血治疗子宫出血的方法安全、有效、简单、易行,特别适用妇科急性子宫出血,可作为子宫出血动脉栓塞介入治疗或子宫切除之前的一种选择性治疗方法 ,尤其适用于缺乏子宫动脉栓塞介入治疗或子宫切除条件的基层医院,值得临床推广。
Objective To investigate the curative effect of intrauterine placement of double lumen catheter for hemostasis in treating uterine hemorrhage. Methods 18 cases of intrauterine operation (or after operation) occurred in patients with uterine bleeding after conventional conservative treatment (massage the uterus, uterine contracting agent, hemostatic drugs) invalid, intrauterine placement of double lumen catheter balloon compression Stop bleeding, observe the bleeding situation. Results 18 patients died of uterine bleeding after balloon compression, and the amount of bleeding during balloon compression was 10 ~ 100 ml. No postoperative complications occurred. Conclusion Intrauterine placement of dual-lumen catheter balloon hemostasis for the treatment of uterine bleeding is safe, effective, simple and easy, especially for gynecological acute uterine bleeding, can be used as a uterine bleeding artery embolization before intervention or hysterectomy Selective treatment, especially for the lack of interventional uterine artery embolization or hysterectomy conditions of primary hospitals, is worthy of clinical promotion.