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目的对比分析子宫动脉栓塞术与子宫切除术治疗产后大出血的临床疗效。方法选取2014年1月至2015年10月收治的96例产后大出血患者作为研究对象,其中行子宫动脉栓塞术62例,行子宫切除术34例,比较两组手术疗效。结果观察组止血总有效率为98.39%,对照组为100.00%,两组止血总有效率比较差异未见统计学意义(P>0.05)。观察组手术时间、止血时间、下床活动时间、住院时间及卵巢功能恢复时间分别为(42.66±7.82)min、(7.02±4.18)min、(3.18±0.74)d、(8.76±2.85)d、(2.73±1.45)个月,均明显短于对照组(P<0.01);两组均未出现严重并发症。结论子宫动脉栓塞术治疗产后大出血相对于子宫切除术可有效减少对机体的创伤,保留患者生育功能。
Objective To compare the clinical effects of uterine artery embolization and hysterectomy in the treatment of postpartum hemorrhage. Methods A total of 96 patients with postpartum hemorrhage admitted from January 2014 to October 2015 were enrolled. Among them, 62 cases underwent uterine artery embolization and 34 cases underwent hysterectomy. The curative effect was compared between the two groups. Results The total effective rate in the observation group was 98.39%, while that in the control group was 100.00%. There was no significant difference between the two groups in the total effective rate (P> 0.05). The operative time, bleeding time, bed ambulation time, hospitalization time and ovarian function recovery time in observation group were (42.66 ± 7.82) min, (7.02 ± 4.18) min, (3.18 ± 0.74) d, (8.76 ± 2.85) d, (2.73 ± 1.45) months, were significantly shorter than the control group (P <0.01); no serious complications occurred in both groups. Conclusions Uterine artery embolization can treat postpartum hemorrhage as compared with hysterectomy, which can effectively reduce the trauma to the body and preserve the patient’s reproductive function.