产后大出血常见原因分析及介入治疗体会

Analysis of Common Causes of Postpartum Hemorrhage and the Experience of Interventional Therapy

目的观察分析产后大出血的常见原因及及介入治疗的效果。方法将我院妇产科诊治的产后大出血80例患者按治疗方法不同分为观察组和对照组,分别采用选择性子宫动脉栓塞术治疗和纱布宫腔填塞治疗,观察两组出血原因,比较两组止血时间,再次出血率、宫腔感染率以及子宫切除率。结果导致产后大出血常见原因较多,其中宫缩乏力是其最主要的原因。观察组止血时间短于对照组(P<0.05);观察组再出血率,子宫切除率及产后感染率均低于对照组(P<0.05)。结论子宫收缩乏力是导致产后大出血最常见的原因;选择性子宫动脉栓塞术介入治疗止血效果好,止血迅速,安全可靠,再出血和产后宫腔感染发生率均较低,在临床中具有优势。

Objective To observe and analyze the common causes of postpartum hemorrhage and the effect of interventional therapy.MethodsIn our hospital, 80 cases of postpartum hemorrhage patients were divided into observation group and control group,respectively,using selective uterine artery embolization for the treatment and house of gauze tamponade,observed two groups of causes of bleeding,bleeding time was compared between the two groups re bleeding,rate,intrauterine infection rate and the rate of hysterectomy.Results The more common causes of postpartum hemorrhage caused by uterine inertia,which was the main reason.Conclusion Selective uterine arterial embolization in interventional treatment of hemostatic effect is good,hemostatic quick,safe and reliable,rebleeding and postpartum uterine cavity infection rate were lower,in clinical has obvious advantages.