难治性妇产科大出血临床治疗策略及效果

Refractory obstetrics hemorrhage clinical treatment strategies and effect

目的通过对难治性妇产科大出血临床治疗的策略及其效果总结分析。方法选取在我院接受治疗的44例难治性妇产科大出血患者进行对比研究分析,依照所选的不同方法将其均分至髂内(或子宫)动脉结扎术的对照组(22例)与采取动脉栓塞术治疗的观察组(22例),探讨二者的不同临床疗效。结果采用动脉栓塞术治疗的观察组患者有效率高达95.5%,远高于采用髂内(或子宫)动脉结扎术的对照组(59.1%);且无论在平均手术时间、平均出血量或术后阴道流血天数方面均较对照组都有很大的优势。结论对于难治性妇产科大出血患者采用动脉栓塞术进行治疗,其疗效较好,不仅手术时间短、止血快、出血量少,而且能够有效降低患者术后并发症的发生。

Objective Through to the refractory obstetrics hemorrhage clinical treatment effect and strategy of summary analysis. Methods Apply in 44 patients with refractory obstetrics hemorrhage treated in our comparative study and analysis, in accordance with the different methods of the selected its split to iliac or uterine artery ligation in the control group （22 cases） and take the artery embolization in the observation group （22 cases）, discusses the two different clinical curative effect. Results The observation group of patients using artery embolization efficiency is as high as 95.5%, far higher than using iliac or uterine artery ligation in the control group （59.1%）. And no matter in the average operation time, average blood loss, or days of the postoperative vaginal bleeding than the control group have very big advantage. Conclusion For patients with refractory obstetrics hemorrhage by arterial embolization treatment, the curative effect is good, not only the operation time is short, fast hemostasis, less blood loss, but also can effectively reduce the patients with postoperative complications.