摘要
目的研究探讨子宫动脉栓塞术治疗难治性产后出血的临床效果及其临床应用价值。方法选取本院2012年10月至2014年4月收治的难治性产后出血患者65例为研究对象,比较子宫动脉栓塞术、盆腔动脉结扎术、宫腔纱条填塞术的临床治疗效果以及三种治疗方式下患者的产后出血量、止血时间、手术总时长以及治疗有效率。结果行子宫动脉栓塞术患者的产后出血量、止血时间、手术总时长显著优于盆腔动脉结扎术和宫腔纱条填塞术(P<0.05)。子宫动脉栓塞术治疗有效率为100.0%,宫腔纱条填塞术为80.0%,盆腔动脉结扎术为68.4%,盆腔动脉结扎术、宫腔纱条填塞术失败者可行子宫动脉栓塞术。结论子宫动脉栓塞术治疗难治性产后出血的适应范围更广,且对患者的创伤小,产后出血量少,止血快,安全有效,值得临床推广应用。
Objective To investigate the clinical effect of uterine artery embolization for the treatment of intractable postpartum hemorrhage. Method Selected patients with refractory postpartum hemorrhage 65 cases in our hospital from October 2012 to April 2014 for the study, compared the clinical effect of uterine artery embolization, pelvic artery ligation, uterine gauze. Postpartum hemorrhage, bleeding time, the total length of surgery and treatment efficiency were compared under three treatments of patients. Result The postpartum hemorrhage, bleeding time, the total length of surgery of patients with uterine artery embolization therapy was significantly better than the pelvic artery ligation, uterine gauze（P〈0.05）. Efficiency of patients who used uterine artery embolization, uterine tamponade and pelvic artery ligation for treatment was 100.0%, 80.0% and 68.4%. Patients with pelvic and uterine artery ligation gauze treatment failure could choose uterine artery embolization. Conclusion Uterine artery embolization in patients with intractable postpartum hemorrhage, adopt to a wider range of trauma, less postpartum bleeding, bleeding fast, safe and effective, worthy of clinical application.
出处
《中国医学前沿杂志（电子版）》
2015年第1期78-80,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
子宫动脉栓塞术
难治性产后出血
治疗效果
Uterine artery embolization
Intractable postpartum hemorrhage
Curative effect
