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探讨子宫动脉栓塞术治疗产科出血的临床疗效 被引量:5

Clinical effect on interventional uterine artery embolization in treatment of refractory postpartum hemorrhage
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摘要 目的探讨子宫动脉栓塞术治疗产科出血的临床疗效。方法选取我院收治的130例难治性产后出血患者,随机分为对照组和实验组2组,对照组采用子宫切除术治疗,实验组采用子宫动脉栓塞介入治疗,比较2组患者临床疗效。结果对照组患者止血有效率为93.85%(61/65),实验组患者止血有效率为96.92%(63/65),两组数据比较,差异无统计学意义(P>0.05);实验组患者手术时间、术后下床活动时间及住院天数均优于对照组,差异具有统计学意义(P<0.05);对照组患者各种并发症的发生率与实验组患者比较,差异较大,具有统计学意义(P<0.05)。结论子宫动脉栓塞术治疗难治性产后出血的手术时间短、创伤小、患者恢复快,值得临床推广应用。 Obgective To investigate the clinical value of interventional uterine artery embolization in treatment of refractory postpartum hemorrhage. Methods 130 patients with postpartumhemorrhage were randomly allocated to control group and experiment group. The control group was treated with traditional hysterectomy and the experiment group was treated with interventional uterine artery embolization. The clinical efficacy of the two groups of patients was compared. Results The hemostasis effective rate of the control group was 93.85%(61/65)and the hemostasis effective rate of the experiment group was 96.92%(63/65). There was no statistically significant difference(P〉0.05). The operative time, postoperative out-of-bed activity time and average postoperative length of stay and so on of the experiment group were all better than those of the control group, and the differences were all statistically significant(P〈0.05). The conditions of postoperative,pain and so on of the experiment group were all better than those of the control group, and the differences were all statistically significant(P〈0.05). Conclusion Interventional uterine artery embolization in treatment of refractory postpartum hemorrhage could have a rapider speed in operation, smaller wound,less pain,which might be benificial to the postoperative rehabilitation of the patients and consequently be worthy of clinical application.
作者 李华 纪淑焕
出处 《中国卫生产业》 2014年第23期1-2,共2页 China Health Industry
关键词 难治性产后出血 子宫动脉栓塞术 子宫切除术 临床疗效 Refractory postpartum hemorrhage Interventional uterine artery embolization Traditional hysterectomy Clinical effect
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