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目的研究超选择性子宫动脉栓塞术对于控制难治性产后出血的临床效果。方法以2012年3月-2016年3月在该院治疗的84例难治性产后出血患者为研究对象,按照随机平均的方法分成实验组和对照组各42例,实验组行超选择性子宫动脉栓塞术治疗,对照组行子宫切除术,并对两组患者的止血效果、术后各项指标以及并发症发生情况进行分析比较。结果两组患者的止血成功率无统计学差异(P>0.05)。实验组在平均手术时间和术中出血量上显著低于对照组,差异具有统计学意义(P<0.05)。实验组并发症发生率为11.9%,对照组的发生率为33.3%,两者之间的差异具有统计学意义(P<0.05)。结论超选择性子宫动脉栓塞术对于控制难治性产后出血的效果显著、手术用时较短且并发症发生率较低。
Objective To study the clinical effect of superselective uterine artery embolization on refractory postpartum hemorrhage. Methods Eighty-four patients with refractory postpartum hemorrhage treated in our hospital from March 2012 to March 2016 were enrolled in this study. According to the randomized average method, 42 cases were divided into experimental group and control group, and the experimental group were treated with hyper-selective uterus Arterial embolization and control group underwent hysterectomy. The hemostatic effects, postoperative indicators and complications were analyzed and compared between the two groups. Results There was no significant difference in the success rate of hemostasis between the two groups (P> 0.05). The average operation time and intraoperative blood loss in the experimental group were significantly lower than those in the control group, with statistical significance (P <0.05). The incidence of complications was 11.9% in the experimental group and 33.3% in the control group. The difference between the two groups was statistically significant (P <0.05). Conclusions Superselective uterine artery embolization is effective in controlling intractable postpartum hemorrhage. The operative time is short and the complication rate is low.