经导管动脉栓塞术治疗产后出血的临床效果观察

The clinical effect observation of transcatheter arterial embolization in treatment the gynecology and obstetrics massive hemorrhage

目的对经导管动脉栓塞术治疗产后出血的临床效果进行探讨。方法选择本院妇产科2010年1月至2012年12月产后出血患者46例,将其随机分为试验组和对照组,每组各23例,试验组患者采取经导管动脉栓塞术治疗,对照组患者采取髂内动脉结扎术治疗。分析并比较两组患者手术时间、术中出血量、术后出血时间、止血效率和子宫切除率。结果试验组患者手术时间、术中出血量、术后出血时间、子宫切除率均低于对照组,止血效率高于对照组,差异均具有显著性(P均<0.05)。结论经导管动脉栓塞术治疗产后出血止血效率高,同时对患者子宫具有保护作用,值得临床推广应用。

Objective To disscuss the clinical effect of transcatheter arterial embolization in treatment the gynecology and obstetrics massive hemorrhage. Method Selected 46 patients with postpartum hemorrhage from January 2012 to December 2012, all patients were randomly divided into experimental group and control group, recorded the operation time, intraoperative blood loss, postoperative bleeding time, bleeding efifciency and uterus resection of patients. Result Experimental group and control group patients were signiifcant differences on the operating time, interaoperative blood loss and postoperative bleeding time （P 〈0.05）, experimental group were signiifcantly lower than control group. The intraopeerative study also found that experimental group were signiifcantly higher than control group of the efifciency of the bleeding. Conclusion The efifciency of the bleeding of transcatheter arterial embolization is high, worthy of clinical use for further research.