摘要
目的:探讨不同干预措施在难治性产后出血抢救过程中的应用价值。方法:选取诊治的难治性产后出血患者90例作为研究对象,根据随机法和干预性治疗措施分为动脉栓塞组、纱布填塞组和子宫捆扎组各30例。全部患者均为保守治疗无效者,并根据各组干预措施进行治疗,对各组患者临床治疗效果进行观察,并分析各种干预措施的应用价值。结果:全部90例患者均分别干预治疗后,其中64例干预治疗成功,成功率为71%;动脉栓塞组治疗成功率为100.0%,纱布填塞组治疗成功率为73%,子宫捆扎组治疗成功率为40.0%,组间对比差异有统计学意义(P<0.05);各组干预治疗方式术后伤口甲级愈合,均未发生严重并发症。结论:难治性产后出血患者需采取合理措施进行及时治疗,经导管动脉栓塞术治疗有效率最高,子宫腔纱布填塞术次之,子宫捆扎术相对较差。根据患者情况选择合理术式,对于首次治疗无效的患者及时行全子宫切除,可以有效达到抢救目的。
Objective To investigate the the value of different interventions in intractable postpartum hemorrhage rescue process. Meth- otis 90 cases of intractable postparumn hemorrhage patients admired in our hospital were divided into artery embolization group,gauze packing group and arterial ligafien group according to the random method and intervention therapy measures,and there were 30 cases in each group. All the patients were eamervative treatment failed patinets,and treatment intervention was received in each group. Moreover,the i clinical dtieacy of the patients in each geonp was observed and the application value of each treatment intervention was analyzed. Results After the intervenfien,64 eases of the patients were suceessed,and the success rate was 71% ,the difference between the three groups was statistically significant （P 〈0. 05 ）. Furthermore,the wound healed well in all the patients in the three groups,and no complications oe- cured. Condusion Intractable postpartrum hemorrhage should be treated in llme. The results of this paper showed that transcatheter arterial embolization is the most efficient method,followed by uterine cavity gauze tamponade,and pelvic artery ligafion is relatively poor for treat- ment of intractable postparmun hemorrkaga. Through selecting the surgery based on the patients＇ condition,hysterectomy for patients with treatment failure can he rescued effecllvely in a timely manner.
出处
《吉林医学》
CAS
2013年第23期4650-4651,共2页
Jilin Medical Journal
关键词
难治性产后出血
干预措施
动脉栓塞
纱布填塞
子宫捆扎
临床疗效
Intractable postpartrum hemorrhage
Interventions
Artery embolization
Gauze packing
Arterial ligation
Clinical efficacy
