选择性动脉栓塞术在妇产科出血性疾病中的应用分析

Analysis of the Effect of Selective Arterial Embolization Treatment for Hemorrhage Isease in Gynecology and Obstetrics

目的:观察分析选择性动脉栓塞术(SAE)应用在妇产科出血性疾病的临床效果。方法:选取2010年5月-2013年3月妇产科收治的出血性疾病患者107例,根据其实施的止血方式分为观察组与对照组,观察组实施经导管SAE,对照组实施髂内/子宫动脉结扎术,对比观察两组患者临床效果。结果:观察组手术时间、术后阴道流血时间、出血量均明显少于对照组,止血有效率、子宫切除率均明显高于对照组,比较差异均有统计学意义(P<0.05)。结论:在妇产科出血性疾病中实施SAE,手术时间短,术后恢复快,减少子宫切除率,具有更为理想的止血效果及临床应用价值。

Objective：To observe the clinical effect of SAE for hemorrhagic disease in gynecology and obstetrics. Method：Selected 107 hemorrhage disease patients in our gynecology and osbstetrics from May 2010 to March 2013,they were divided into the observation group and the control group, the observation group received SAE by catheter, the control group received ligation of internal iliac artery,clinical effect of the two groups was observed and compared.Result：The operation time, postoperative vaginal bleeding time, bleeding volume of the observation group were statistically less than the control group, the total efficiency of bleeding, uterine resection rate were significantly higer than the control group, and the differences between the two groups were statistically significant（P〈0.05）.Conclusion：The implementation of SAE in gynecology and obstetrics hemorrhagic disease, short operation time, rapid postoperative recovery, it can reduce the rate of hysterectomy, has more ideal hemostatic effect.