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目的探讨改良水囊压迫止血方法对宫颈妊娠出血患者的改善作用。方法随机从我院接诊的宫颈妊娠患者中抽取7例,采用由一次性子宫造影通水管改良而成的连串式水囊,治疗清宫术围术期患者的出血症状。对清宫术后仍有妊娠残留物的患者择期行水囊压迫+宫腔镜电切的治疗方法。结果经过治疗,所有患者中有2例急性清宫术中出血症状,出血量为500~1000 ml,5例择期清宫术患者,术中出血为50~200 ml,通过采用改良水囊干预后,7例患者均能在24~50 h内停止出血。术后30 d,症状均有好转,复查超声宫颈未见异常回声,随访月经来潮正常,血β-HCG恢复正常标准。结论改良水囊压迫止血方法操作简单,治疗效果显著,患者满意度高,且治疗费用低。
Objective To investigate the effect of modified balloon compression hemostasis on cervical bleeding in patients with pregnancy. Methods Seven cases of cervical pregnancy admitted to our hospital were randomized. A series of water sacs improved by disposable uterine angiography were used to treat the patients with bleeding during perioperative period. On the residual postoperative pregnancy in patients with residual ectopic hydrosalpinx ectopic hysteroscopic resection of the treatment. Results After treatment, there were 2 cases of acute hysterosclerosis hemorrhage in all patients, the amount of bleeding was 500 ~ 1000 ml, 5 cases of elective hysterectomy patients, intraoperative bleeding was 50 ~ 200 ml, through the use of improved water balloon intervention, 7 Patients were able to stop bleeding within 24 ~ 50 h. After 30 days, the symptoms were improved. No abnormal echoes were observed in the echogenic cervix. The follow-up menstrual cramps were normal and the blood β-HCG returned to normal. Conclusion The improved method of compression of hemostasis is simple, the treatment effect is remarkable, the patient satisfaction is high, and the treatment cost is low.