Florian A, Carles G, Dallah F, Ibrahim N, Alassas N, Duvivier C
Service de Gynécologie-Obstétrique, Centre Hospitalier de l'Ouest Guyanais-Franck-Joly, Guyane française; Service de gynécologie-obstétrique, CHU 14000 Caen, France.
J Gynecol Obstet Biol Reprod (Paris). 2013 Sep;42(5):493-8. doi: 10.1016/j.jgyn.2013.02.008. Epub 2013 Apr 6.
Post-partum hemorrhage (PPH) is the first cause of maternal mortality in France. Uterine tamponade is an alternative in the management of PPH. We investigated the efficiency of the Linton-Nachlas balloon in treating severe PPH in a French Guiana center where interventional radiology is not available.
In this retrospective study, 25 women with severe PPH were included. Severe PPH is defined by the persistence of PPH despite sulprostone treatment. All women included in the study gave birth by vaginal delivery. The Linton-Nachlas balloon (Coloplast(®), France) used for digestive hemorrhage was inserted transvaginally. The primary endpoint for the efficiency was stopping PPH.
The use of this balloon stopped the bleeding for 24 out of 25 patients (96 %). There was one case in which the treatment by the balloon was a failure. In that case, vaginal packing stopped the hemorrhage. No patient needed any complementary surgical treatment.
This technique is a non-invasive, inexpensive, easy and efficient treatment. Most of the time, its use can stop hemorrhage and preserve fertility of young women wishing further pregnancies.
产后出血（PPH）是法国孕产妇死亡的首要原因。子宫压迫法是治疗PPH的一种替代方法。我们在法属圭亚那一个没有介入放射学设备的中心，研究了林顿 - 纳克拉斯球囊治疗严重PPH的有效性。
在这项回顾性研究中，纳入了25例严重PPH的女性。严重PPH定义为尽管使用了磺前列酮治疗，但产后出血仍持续。研究纳入的所有女性均经阴道分娩。用于消化道出血的林顿 - 纳克拉斯球囊（法国康乐保公司）经阴道插入。有效性的主要终点是止住PPH。
该球囊的使用使25例患者中的24例（96%）止血。有1例球囊治疗失败，在该病例中，阴道填塞止住了出血。没有患者需要任何辅助性手术治疗。
这项技术是一种无创、廉价、简便且有效的治疗方法。大多数情况下，其使用能够止血，并保留希望再次怀孕的年轻女性的生育能力。
