子宫动脉栓塞治疗产后大出血的疗效分析

Analysis of the Therapeutic Effect of Uterine Artery Embolization in the Treatment of Postpartum Hemorrhage

目的分析对产后大出血患者实施子宫动脉栓塞治疗的临床方法和效果。方法搜集该院接收的产后大出血50例患者,随机分为甲组和乙组。对甲组25例患者实施子宫全切,对乙组25例患者实施子宫动脉栓塞治疗。对比甲组和乙组的临床效果。结果甲组和乙组患者经过相应治疗,均能成功止血,一次性止血成功率为100%。甲组手术时间平均为(54.6±42.6)min,止血时间平均为(22.6±5.6)min,卵巢功能的平均恢复时间为(5.5±1.2)个月。乙组手术时间平均为(32.6±11.7)min,止血时间平均为(6.5±3.2)min,卵巢功能的平均恢复时间为(2.8±1.8)个月。乙组手术时间、止血时间、卵巢功能的恢复时间短于甲组,且均能保留子宫,差异有统计学意义(P<0.05)。结论对产后大出血患者实施子宫动脉栓塞治疗,手术时间较短,止血时间较短,患者恢复较快,且安全、可靠,值得推广。

Objective To analyze the method and therapeutic effect of uterine artery embolization in the treatment of postpartum hemorrhage. Methods 50 cases of patients with postpartum hemorrhage admitted in our hospital from March, 2010 to March, 2013were collected and randomly divided into group A and group B. 25 patients in group A were given hysterectomy, and 25 patients in group B were given uterine artery embolization for treatment. The clinical effect of group A and group B was compared. Results After appropriate treatment, successful hemostasis was achieved in both groups; the one-time success rate of hemostasis was100%. The mean operation time, average hemostatic time, and average recovery time of ovarian function of group A was（54.6 ±42.6） min,（22.6±5.6）min,（5.5±1.2）months, respectively, while that of group B was（32.6±11.7）min,（6.5±3.2）min,（2.8±1.8）months, respectively. The operation time, hemostatic time and the recovery time of ovarian function of group B were shorter than those of group A with preserving the uterus, the difference was statistically significant（P 〈0.05）. Conclusion For patients with postpartum hemorrhage, uterine artery embolization has shorter operation time and hemostatic time, and it is safe and reliable, the patients recover faster, which is worthy of promotion.