难治性妇产科大出血临床治疗的对比研究

Comparative study on clinical treatment of intractable massive hemorrhage in obstetrics and Gynecology

目的探讨分析难治性妇产科大出血的临床治疗方法和效果。方法随机选取在2015年1月~2016年3月期间收治的难治性大出血的妇产科患者56例,并随机分为观察组和对照组,各28例。对观察组采取动脉栓塞术进行止血,而对照组则采用髂内或子宫动脉结扎术的常规方法来止血。结果相比对照组的术后效果,观察组在难治性妇产科大出血的治疗中采取动脉栓塞术疗效更好,差异具有统计学意义(P<0.05)。结论临床对难治性妇产科大出血进行治疗时,导管动脉栓塞术止血快,用时短,出血量少,同时降低了术后并发症的发生率,能够最大程度上对患者的子宫进行保留,并提高了患者的生存率。

Objective To explore the clinical treatment and efficacy of intractable obstetric and gynecological bleeding, and to observe and analyze it. Methods Randomly selected 56 cases of obstetrics and gynecology patients from January 2015 to March 2016 in hospital during the treatment of intractable bleeding, and divided into the observation group and the control group, 28 cases of each group. The observation group were under the treatment with arterial embolization hemostasis, while the control group is used in the iliac or uterine artery ligation of conventional methods to stop bleeding. Results The effect of the observation group was better than that of the control group, and it was better in the treatment of intractable obstetrics and gynecology hemorrhage. There was significant difference between the two groups （P 〈 0.05 ） . Conclusion In the clinical treatment of refractory obstetric and gynecological bleeding, the arterial embolization hemostasis was faster, with a short time, less bleeding, while reducing the incidence of postoperative complications, to maximize the retention of the patient＇s uterus, and improve the survival rate of patients, it is worth promoting the application.