双侧子宫动脉栓塞对凶险性前置胎盘产后出血的治疗价值观察

Observation on the therapeutic value of bilateral uterine artery embolization in the treatment of dangerous placenta previa postpartum hemorrhage

目的:观察应用双侧子宫动脉栓塞疗法治疗凶险性前置胎盘产后出血的价值。方法:2017年3月-2019年6月收治行剖宫产且产后出血的凶险性前置胎盘患者60例,随机分为两组。对照组应用子宫动脉结扎疗法;研究组应用双侧子宫动脉栓塞疗法。比较两组治疗效果。结果:研究组手术操作时间及产后下床时间均明显短于对照组,术中出血量、术后出血量及不良事件发生率均明显低于对照组,差异均有统计学意义(P<0.05)。结论:应用双侧子宫动脉栓塞疗法治疗凶险性前置胎盘产后出血,治疗价值较高,具有操作简捷、出血量少、止血迅速的优点。

Objective:To observe the value of bilateral uterine artery embolization therapy in the treatment of dangerous placenta previa postpartum hemorrhage.Methods:From March 2017 to June 2019,60 patients with dangerous placenta previa who underwent cesarean section and suffered postpartum hemorrhage were selected,and they were randomly divided into the two groups.The control group was treated with uterine artery ligation.The study group was treated with bilateral uterine artery embolization.The therapeutic effects between the two groups was compared.Results:The operative time and the time of getting out of bed after operation in the study group were significantly shorter than the control group,and the volume of intraoperative bleeding,postoperative bleeding and the incidence of adverse events were significantly lower than the control group,the differences were statistically significant(P<0.05).Conclusion:Application of bilateral uterine artery embolization in the treatment of dangerous placenta previa postpartum hemorrhage has the high therapeutic value,and it has the advantages of simple operation,less bleeding volume and rapid hemostasis.