难治性妇产科大出血150例治疗分析

Treatment analysis on 150 cases of refractory large bleeding in Obstetrics and Gynecology Department

目的:探讨难治性妇产科大出血的有效治疗方法。方法:以150例难治性大出血患者为研究对象,根据治疗方法不同分为对照组和观察组各75例。对照组患者采用常规止血方法进行治疗,观察组患者采用动脉栓塞术联合卡孕栓并辅助使用宫腔纱布填塞的方法进行治疗。观察两组患者术后出血情况、并发症情况并统计子宫切除率。结果:患者术后出血、并发症发生率、子宫切除率观察组较对照组低,两组比较差异有统计学意义(P<0.05)。结论:与常规止血方法相比动脉栓塞术联合卡孕栓并辅助使用宫腔纱布填塞治疗难治性妇产科大出血效果较好。

Objective：To exploreeffective method for the treatment of refractory large bleeding in obstetrics and gynecology. Methods： 150 cases of refractory hemorrhage patients were set as the research object, according to the different treatment methods, divided them into control group and observation group, 75 cases in each group. The control group was given the routine hemostatic treatment. The observation group were treated by arterial embolization combined with Carboprost suppository and method of supporting the use of gauze packing for treatment. The postoperative bleeding, complications and the difference of hysterectomy rate were observed in the two groups of patients. Results： The postoperative bleeding, postoperative complications and the difference of hysterectomy rate in observation group were lower than those in control group. The difference between the two groups was statistically significant （P 〈 0.05 ）. Conclusion： Compared with conventional hemostatic methods, arterial embolization combined with Carboprost and auxiliary use associated with intrauterine gauze packing is effective in the treatment of refractory obstetrics and gynecology bleeding.