摘要
目的探讨子宫动脉栓塞术（UAE）和子宫全切除术（TH）在治疗难治性产后出血中的应用效果。方法经保守治疗无效的难治性产后出血32例，其中15例行子宫动脉栓塞（UAE），17例行常规筋膜外子宫全切除术（TH）。对两组的术前准备时间、手术开始到止血时间、住院时间进行对比分析。结果术前准备时间UAE组（26．2±1．6）min，明显长于TH组（13．5±1．4）min（P〈0．01），手术开始到出血停止（血止）时间前者为（47．8±16．2）min，后者为（100．6±18．7）min（P〈0．01），两组住院时间前者为（6．1±0．1）d，明显短于后者（8．8±0．5）d（P〈0．01）。结论应用UAE治疗难治性产后出血具有止血快，创伤小，保留子宫等优点，临床效果较好，但在一些特殊情况下．仍不能取代TH。
Objective To compare the clinic value of uterine artery embolism（UAE） and total hysterectomy （TH） for intractable postpartum hemorrhage. Methods 15 cases of intractable postpartum hemorrhage were performed UAE and other 17 cases of intractable postpartum hemorrhage were performed HE in our hospital during 10 years. Two groups＇ preoperative preparation time, operation time and the hospitalization time were compared. Results The preoperative preparation time （26.2 ± 1.6）rain of UAE was significantly longer than TH group （13.5 ± 1.4） rain（ P 〈 0.01 ; the former group＇s average operation time was （ 47.8 ± 16.2 ） rain, and the latter group＇ s was （100.6 ± 18.7 ） rain （P 〈 0.01 ） ; the hospitalization time of UAE （6.1 ± 0.1 ） days was significantly shorter than TH group （8.8 ± 0.5） days） （P 〈 0.01）. Conclusion With short operation time, low morbidity rate and possibility of preserving reproductive function, UAE is proved to be very effective in the treatment of intractable postpartum hemorrhage, but in some cases,UAE can＇t replace TH yet.
出处
《中国基层医药》
CAS
2008年第5期717-718,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
栓塞
治疗性
子宫切除术
产后出血
Embolization, therapeutic
Hysterectomy
Postpartum hemorrhage
