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目的观察探讨介入治疗妇产科急性大出血的效果。方法妇产科急性大出血患者70例,将其随机分成治疗组和对照组,每组35例,治疗组实施介入性动脉栓塞治疗,对照组实施传统治疗(髂内动脉结扎术或子宫切除术),比较这两组患者的出血量、手术时间、子宫切除、死亡、并发症情况。结果治疗组的出血量、阴道流血时间、手术时间均明显低于对照组,差异具有统计学意义(P<0.05)。治疗组的患者子宫切除率、死亡率、并发症发生率均明显低于对照组,差异具有统计学意义(P<0.05)。结论介入性动脉栓塞治疗具有创伤小、止血迅速、并发症少、出血量少、可保留子宫等优点,有利于控制症状,缩短治疗的时间,对妇产科急性大出血的疗效较好,有较高的临床应用价值。
Objective To investigate the effect of interventional treatment of acute gynecological bleeding. Methods Seventy patients with acute hemorrhage in obstetrics and gynecology were randomly divided into treatment group (n = 35) and control group (n = 35). The intervention group received interventional arterial embolization and the control group received conventional treatment (internal iliac artery ligation or hysterectomy) The bleeding volume, operation time, hysterectomy, death and complication of the two groups were compared. Results The bleeding volume, vaginal bleeding time and operation time in the treatment group were significantly lower than those in the control group, the difference was statistically significant (P <0.05). The hysterectomy rate, mortality rate and complication rate in the treatment group were significantly lower than those in the control group, the difference was statistically significant (P <0.05). Conclusion Interventional arterial embolization has the advantages of less trauma, rapid hemostasis, fewer complications, less bleeding, and can retain the uterus, which is beneficial to control symptoms and shorten the treatment time, and has a good curative effect on acute hemorrhage in obstetrics and gynecology. High clinical value.