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目的:探讨观察难治性妇产科大出血的治疗方法。方法:选取2012年6月~2013年6月期间在我院接受治疗的难治性大出血的42例患者的临床资料予以回顾研究,将其随机分成观察组与对照组两组,观察组给予动脉栓塞术对21例患者进行治疗,对照组给予髂内动脉结扎对21例患者进行治疗。对两组患者的出血量和平均手术时间等情况予以对比分析。结果:观察组患者的平均出血量、平均手术时间以及术后阴道平均出血的时间明显小于对照组,P<0.05差异有统计学意义。观察组患者子宫切除率远远小于对照组,并且止血的有效率显著高于对照组,P<0.05差异有统计学意义。结论:通过导管实施动脉栓塞术对难治性大出血进行治疗,可以迅速止血,并且安全有效,对患者的创伤较小,可以保留子宫,同时不会产生严重性的并发症,在临床工作应予以广泛应用和推广。
Objective: To investigate the treatment of refractory obstetrics and gynecology major bleeding. Methods: The clinical data of 42 patients with refractory hemorrhage treated in our hospital from June 2012 to June 2013 were retrospectively studied. They were randomly divided into observation group and control group. The observation group was given artery Twenty-one patients were treated with embolization, and 21 patients with control ligation of internal iliac artery. The two groups of patients with bleeding and the average operating time were compared. Results: The average amount of bleeding, the average operation time and the mean vaginal bleeding time in the observation group were significantly less than those in the control group, P <0.05 was considered statistically significant. The hysterectomy rate in the observation group was far less than that in the control group, and the effective rate of hemostasis was significantly higher than that in the control group, P <0.05 was considered statistically significant. CONCLUSIONS: Arterial embolization through catheters provides treatment for refractory hemorrhage that is rapid, safe and effective, less traumatic to the patient, retention of the uterus without serious complications and should be performed clinically Widely used and promoted.