Alkış İsmet, Karaman Erbil, Han Agahan, Ark Hasan Cemal, Büyükkaya Betül
Yüzüncü Yıl University, Department of Obstetrics and Gynecology, Van, Turkey.
Erciş State Hospital, Department of Obstetrics and Gynecology, Van, Turkey.
Taiwan J Obstet Gynecol. 2015 Jun;54(3):232-5. doi: 10.1016/j.tjog.2014.03.009.
To evaluate the success rate of Bakri balloon tamponade (BBT) for managing postpartum hemorrhage (PPH), intractable to conservative medical treatment, as a fertility sparing intervention.
We evaluated 47 women treated with BBT who had severe postpartum hemorrhage and uncontrollable bleeding due to failed treatment with uterotonic agents. The main outcome measure was successful management and preservation of the uterus.
Forty-seven women were identified for BBT treatment due to severe PPH. BBT was used to successfully manage hemorrhage in 43 patients, and there was no need for hysterectomy. Four patients required an additional surgical procedure. Of the four failures, a subtotal hysterectomy was performed in two patients, and the other two patients underwent a total hysterectomy. The overall success rate was 91.4%, which was comparable to rates reported earlier. The main cause of PPH was uterine atony (43%).
Uterine preservation is an important issue when managing PPH. BBT is an effective, easy to use, and safe procedure for massive PPH that can minimize recourse to hysterectomy after failed medical treatment.
评估 Bakri 球囊填塞术（BBT）作为一种保留生育功能的干预措施，用于治疗经保守药物治疗无效的产后出血（PPH）的成功率。
我们评估了 47 例接受 BBT 治疗的女性，她们因宫缩剂治疗失败而出现严重产后出血且出血无法控制。主要结局指标是成功处理并保留子宫。
47 例女性因严重 PPH 接受 BBT 治疗。BBT 成功治疗了 43 例患者的出血，无需进行子宫切除术。4 例患者需要额外的手术。在这 4 例失败病例中，2 例患者进行了次全子宫切除术，另外 2 例患者进行了全子宫切除术。总体成功率为 91.4%，与早期报道的比率相当。PPH 的主要原因是子宫收缩乏力（43%）。
在处理 PPH 时，保留子宫是一个重要问题。BBT 是一种有效、易用且安全的治疗大量 PPH 的方法，可最大程度减少药物治疗失败后行子宫切除术的必要性。
