摘要
目的 探讨子宫动脉结扎术（UAL）、子宫动脉栓塞术（UAE）及保守治疗对重症产后出血的治疗效果及对产妇的影响。方法 回顾性分析我院2011年12月~2015年12月治疗的重症产后出血62例产妇的临床资料,评估术后的临床疗效。结果 子宫动脉结扎术、子宫动脉栓塞术卵泡刺激素水平高于保守治疗组（P〈0.05）;促黄体生成素,子宫动脉结扎术组最高,保守治疗组最低（P〈0.05）;保守治疗组雌二醇水平均高于手术治疗组（P〈0.05）;手术治疗组的出血量明显低于保守治疗组,手术治疗组的恶露持续时间及分娩距第一次月经的时间短于保守治疗组（P〈0.05）。结论 子宫动脉结扎术和动脉栓塞术是治疗产后出血特别是重症产后出血较理想的治疗方案。
Objective To investigate the effects of uterine artery ligation, uterine artery embolization treatment and conservative treatment for severe postpartum hemorrhage and the affects for the puerperants. Methods The clinical data of 62 patients with severe postpartum hemorrhage in our hospital from December 2011 to December 2015were retrospectively analyzed, the clinical efficacy were evaluated. Results Follicle-stimulating hormone levels of patients in uterine artery ligation, uterine artery embolization were higher than those of the conservative treatment group （P 〈 0.05）. Luteinizing hormone of the uterine artery ligation group was the highest and the conservative treatment group＇ s was the lowest（P 〈 0.05）. Estradiol levels of the conservative treatment group were higher than those of the surgery group（P 〈 0.05）. The amount of bleeding in surgical treatment group was significantly lower than that of the conservative treatment group and the duration of lochia was shorter（P 〈 0.05）. Conclusion Uterine artery ligation and embolization both are effective methods of severe postpartum hemorrhage.
出处
《中国医药科学》
2016年第16期101-103,210,共4页
China Medicine And Pharmacy
关键词
子宫动脉结扎术
子宫动脉栓塞术
产后大出血
Uterine artery ligation
Uterine artery embolization
Postpartum hemorrhage
