盆腔动脉栓塞术对原发性产后出血患者的疗效及安全性探讨

Therapeutic effect and safety of pelvic arterial embolization in treatment of primary post-partum hemorrhage

目的:研究盆腔动脉栓塞术对原发性产后出血患者的疗效及安全性。方法:选取2014年4月至2016年1月于我院治疗的原发性产后出血患者86例,以数字法随机分为观察组及对照组各43例,对照组患者给予盆腔血管结扎治疗,观察组患者则行盆腔动脉栓塞治疗,对比两组疗效及安全性。结果:观察组术中出血量、手术时间分别为(262.3±59.8)ml、(76.7±19.4)min,均显著低于对照组的(749.4±104.5)ml、(122.5±23.1)min,差异均有统计学意义(均P<0.05)。观察组止血成功率为100.00%(43/43),显著高于对照组的83.72%(36/43),差异有统计学意义(P<0.05)。观察组并发症的发生率为2.33%(1/43),明显低于对照组的18.60%(8/43),差异有统计学意义(P<0.05)。结论:盆腔动脉栓塞术用于治疗原发性产后出血患者的疗效显著,且安全性较好,值得临床推广应用。

Objective：To study the therapeutic effect and safety of pelvic arterial embolization（PAE）in treatment of primary post-partum hemorrhage.Methods：86patients with primary post-partum hemorrhage from Apr.2014 to Jan.2016 in our hospital were chosen and divided into the treatment group by pelvic arterial embolization and the control group by pelvic vessel ligation randomly.Then therapeutic effect and safety were compared.Results：Compared with the control group,the peri-operative bleeding,operative time and complication rate of treatment group were significantly decreased（P〈0.05）,and the success rate of hemostasis were significantly increased（P〈0.05）.Conclusions：PAE has significantly curative effect and better security in treatment of primary post-partum hemorrhage,and is worthy of clinical application.