初步应用真空诱导宫内填塞治疗产后出血的安全性和有效性。

IF 2 4区医学 Q2 OBSTETRICS & GYNECOLOGY

Taiwanese Journal of Obstetrics & Gynecology Pub Date : 2025-01-01 DOI:10.1016/j.tjog.2024.08.005

Ryuichi Shimaoka, Yuichiro Takahashi, Hitomi Ono, Saki Inuzuka, Masako Matsui, Kazuhiko Asai, Shigenori Iwagaki

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引用次数: 0

摘要

目的：本研究旨在评价在临床应用改良的Bakri系统进行真空诱导宫内球囊填塞（vIBT）的安全性和有效性。材料和方法：本单中心观察性研究纳入了因原发性产后出血（PPH）接受过vIBT治疗的妇女。用50-100 ml生理盐水在子宫内以60 kPa持续真空诱导1小时，并在方案完成后立即取出球囊。PPH被定义为分娩时估计失血量为1000 ml或更多，分娩后持续出血≥100 ml/h。主要和次要终点是vIBT的安全性和有效性。结果：601例患者中有28例（4.3%）符合PPH标准，其中20例接受了vIBT。未观察到与vIBT直接相关的不良事件，如子宫穿孔、过敏反应或子宫内膜炎。无患者因宫内球囊排出而不能行vIBT。20例患者中有19例（95%）成功。20例患者中有6例（30%）需要输血。结论：多数PPH患者行VIBT安全易行，可有效控制出血。

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Safety and efficacy of the initial application of vacuum-induced intrauterine tamponade for the management of postpartum hemorrhage

Objective

This study aimed to evaluate the safety and efficacy of vacuum-induced intrauterine balloon tamponade (vIBT) using the modified Bakri system in a clinical setting.

Materials and methods

This single-center observational study included women who had undergone vIBT for primary postpartum hemorrhage (PPH). Vacuum induction at 60 kPa in the uterus was continued for 1 h with 50–100 ml saline, and the balloon was promptly removed after the protocol was completed. PPH was defined as an estimated blood loss of 1000 ml or more at delivery and sustained bleeding of ≥100 ml/h after delivery. The primary and secondary endpoints were the safety and efficacy of vIBT.

Results

The criteria for PPH were met in 28 out of 601 (4.3 %) patients, 20 of whom underwent vIBT. No adverse events directly related to vIBT, such as uterine perforation, anaphylaxis, or endometritis, were observed. No patients were unable to undergo vIBT due to intrauterine balloon expulsion. It was successful in 19 out of 20 (95 %) patients. Blood transfusion was required in 6 out of 20 (30 %) patients.

Conclusion

VIBT was safe and easy to perform in most patients with PPH, achieving effective bleeding control.

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来源期刊

Taiwanese Journal of Obstetrics & Gynecology OBSTETRICS & GYNECOLOGY-

CiteScore

3.60

自引率

23.80%

发文量

207

审稿时长

4-8 weeks

期刊介绍： Taiwanese Journal of Obstetrics and Gynecology is a peer-reviewed journal and open access publishing editorials, reviews, original articles, short communications, case reports, research letters, correspondence and letters to the editor in the field of obstetrics and gynecology. The aims of the journal are to: 1.Publish cutting-edge, innovative and topical research that addresses screening, diagnosis, management and care in women''s health 2.Deliver evidence-based information 3.Promote the sharing of clinical experience 4.Address women-related health promotion The journal provides comprehensive coverage of topics in obstetrics & gynecology and women''s health including maternal-fetal medicine, reproductive endocrinology/infertility, and gynecologic oncology. Taiwan Association of Obstetrics and Gynecology.