Department of Obstetrics and Fetal Medicine, University Medical Center Hamburg-Eppendorf, Germany.
Am J Obstet Gynecol. 2012 Jan;206(1):65.e1-4. doi: 10.1016/j.ajog.2011.07.041. Epub 2011 Jul 30.
To evaluate intrauterine balloon tamponade with or without B-Lynch sutures in avoiding postpartum hysterectomy in cases with severe postpartum hemorrhage.
Retrospective analysis using all women delivering between January 2005 and July 2010 in our center. Prevention of hysterectomy was the main outcome studied.
Twenty-four cases of severe postpartum hemorrhage occurred in which medical treatment alone failed. In 20 cases, the Bakri balloon was the first choice to stop hemorrhage. Sixty percent (n = 12) of these were successfully treated with the balloon alone, 30% (n = 6) with the balloon and the B-Lynch suture. Therefore, 90% (n = 18) were successfully treated with the balloon as part of the treatment. The balloon tamponade was not successful in 2 cases. Four cases were treated with emergency hysterectomy a priori.
The Bakri balloon with or without B-Lynch sutures in a stepwise approach is an effective option for the treatment of severe PPH.
评估宫腔球囊压迫联合或不联合 B-Lynch 缝合术在避免严重产后出血患者行产后子宫切除术的效果。
回顾性分析 2005 年 1 月至 2010 年 7 月期间在我院分娩的所有产妇。主要研究结局为预防子宫切除术。
共有 24 例严重产后出血患者，单纯药物治疗无效。在 20 例患者中，Bakri 球囊是首先选择用于止血的方法。其中 60%（n=12）仅用球囊成功治疗，30%（n=6）用球囊和 B-Lynch 缝合术治疗。因此，90%（n=18）通过球囊治疗成功。2 例球囊压迫止血失败。4 例患者预先行急症子宫切除术。
宫腔球囊压迫联合或不联合 B-Lynch 缝合术序贯治疗是严重 PPH 的有效治疗方法。
