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目的:探讨经导管动脉栓塞术和子宫(或髂内)动脉结扎术治疗难治性妇产科大出血的临床疗效。方法:选择难治性妇科大出血患者76例,将其随机分为观察组和对照组,观察组36例,行导管动脉栓塞术,对照组40例,行子宫(或髂内)动脉结扎术。观察记录患者的出血量、平均手术时间、术中和术后并发症以及住院时间等。结果:观察组治疗难治性妇产科大出血平均手术时间为(42.92±7.00)min,平均出血量为(966.8±227.4)mL,术后阴道流血天数为(11.3±2.5)d,止血有效率为94.7%。对照组大出血平均手术时间为(42.92±7.00)min,平均出血量为(966.8±227.4)mL,术后阴道流血天数为(11.3±2.5)d,止血有效率为94.7%。两组比较,差异有统计学意义(P<0.05)。结论:经导管动脉栓塞术治疗难治性妇产科出血具有止血快、出血量少、手术时间短、并发症少、住院时间短等优点,值得在临床推广应用。
Objective: To investigate the clinical efficacy of transcatheter arterial embolization and uterine (or iliac) artery ligation in the treatment of intractable gynecological hemorrhage. Methods: Seventy-six patients with refractory gynecologic bleeding were randomly divided into observation group (36 cases) and control group (40 cases). Catheter embolization was performed in the control group and 40 cases in the control group were performed ligation of the uterus (or iliac artery). Observe and record the amount of bleeding, the average operation time, intraoperative and postoperative complications and hospital stay. Results: The average operative time of observation group was (42.92 ± 7.00) min, the average bleeding volume was (966.8 ± 227.4) mL, the number of vaginal bleeding after operation was (11.3 ± 2.5) d, the effective rate of hemostasis 94.7%. The average bleeding time in the control group was (42.92 ± 7.00) min, the mean bleeding volume was (966.8 ± 227.4) mL, the number of vaginal bleeding days was (11.3 ± 2.5) days, the effective rate of bleeding was 94.7%. The difference between the two groups was statistically significant (P <0.05). Conclusion: Transcatheter arterial embolization in the treatment of refractory obstetrics and gynecology bleeding with bleeding quickly, less bleeding, shorter operative time, fewer complications, shorter hospital stay, etc., it is worth in the clinical application.