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| Curative effect of bilateral uterine artery suture combined with intrauterine balloon tamponade for treating postpartum hemorrhage of women with placenta previa |
| Shunyi District Hospital of Beijing, Beijing, 101300 |
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Abstract To investigate the curative effect of bilateral uterine artery suture combined with intrauterine balloon tamponade for treating postpartum hemorrhage of women with placenta previa. Methods: The data of 100 women with postpartum hemorrhage because of placenta previa from January 2018 to January 2022 were analyzed retrospectively. These women were divided two groups according to the different treatment of postpartum hemorrhage. The women in the control group were treated with routine gauze tamponade for hemostasis, and the women in the study group were treated with bilateral uterine artery suture combined with intrauterine balloon tamponade for hemostasis. The hemostatic effect, the operation time, the blood loss in 24 hours after operation, the peripheral blood leukocyte count, and the complications rate of the women were compared between the two groups. Results: The hemostatic effective rate (96.0%)of the women in the study group was significantly higher than that (80.0%)of the women in the control group. The operative time (48.2±8.7min), the retention time (19.3±3.9 h), the postoperative blood loss (202.7±21.6 ml), and the peripheral blood white blood cell count ［(9.24±1.12）×109 piece/L］ of the women in the study group were significantly lower than those ［64.0±10.1min, 23.5±4.3 h, 265.2±30.5 ml, and （13.37±1.48）×109 piece/L］ of the women in the control group. The incidence of total complications (8.0%), such as hysterectomy, postoperative infection, fever, hemorrhagic shock, and other complication of the women in the study group was significantly lower than that (34.0%)of the women in the control group (all P＜0.05). There were no significant differences in the levels of estradiol, follicle stimulating hormone, and luteinizing hormone of the women in the 6th months after surgery between the two groups (P＞0.05). Conclusion: Bilateral uterine artery suture combined with intrauterine balloon tamponade for treating postpartum hemorrhage because of placenta previa of the women has better hemostatic effect, which can shorten the operation time, reduce the amount of bleeding, with higher safety.
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