难治性妇产科大出血的临床治疗分析

Clinical treatment of massive hemorrhage in the treatment of refractory obstetrics and Gynecology

目的研究难治性妇产科大出血的治疗方法。方法选取我院2013年6月~2014年6月收治的难治性妇产科大出血患者100例作为研究对象,将其随机分为观察组与对照组,对照组患者采用髂内动脉结扎术进行治疗,观察组患者采用宫腔填塞压迫止血加药物法进行治疗,对比两组患者的疗效。结果观察组患者的手术时间以及阴道流血时间显著短于对照组,术中出血量显著少于对照组,且观察组子宫切除、死亡以及发生并发症患者的例数显著少于对照组,差异有统计学意义（P〈0.05）。结论宫腔填塞压迫止血加药物治疗法治疗难治性妇产科大出血的效果显著,值得临床广泛推广。

Objective To study the method of treatment of refractory obstetrics and Gynecology hemorrhage.Methods Selected in our hospital in June 2013 to 2014 June were intractable obstetrics hemorrhage patients 100 cases as research object, randomly divided to two groups, the observation group and control group, control group were treated by ligation of internal iliac artery treatment for treatment, the observation group were treated by arterial embolization treatment, compared two groups of patients with therapeutic effect. Results Observation group, the operation time and bleeding time was signifi cantly shorter than that in control group, intraoperative bleeding volume was signifi cantly lower than that of the control group and observation group of uterine removal, death, and the number of cases of patients with complications occurred signifi cantly less than that of the control group, the difference is statistically significant（P〈0.05）. Conclusion The clinical effect of arterial embolization in the treatment of refractory obstetrics and Gynecology hemorrhage is signifi cant, which is worthy of wide application in clinic.