摘要
目的探讨难治性妇产科大出血的治疗方法及效果。方法将72例难治性妇产科大出血患者随机分为观察组和参照组,各36例。参照组行子宫动脉结扎术,观察组行导管动脉栓塞术。对比两组的治疗效果。结果观察组的治疗总有效率、子宫保有率及并发症总发生率均显著优于参照组,差异均具有统计学意义(P<0.05)。观察组的手术时间、术中出血量及术后恢复时间均明显优于参照组,差异均具有统计学意义(P<0.05)。结论导管动脉栓塞术治疗难治性妇产科大出血疗效显著,且高效安全,值得临床推广。
Objective To explore the treatment and effect of intractable massive hemorrhage in obstetrics and gynecology. Methods Seventy-two patients with intractable massive hemorrhage in obstetrics and gynecology were randomly divided into observation group and reference group, with 36 cases in each group. The reference group was treated with uterine artery ligation, and the observation group was treated with transcatheter arterial embolization. The therapeutic effects of the two groups were compared. Results The total effective rate of treatment, uterine preservation rate and total incidence of complications in the observation group were significantly better than those in the control group, and the differences were statistically significant（P〈0.05）. The operation time, intraoperative blood loss and postoperative recovery time in the observation group were significantly better than those in the control group, and the differences were statistically significant（P〈0.05）. Conclusion Transcatheter arterial embolization in the treatment of intractable massive hemorrhage in obstetrics and gynecology has a significant effect and is effective and safe. It is worthy of clinical promotion.
作者
尚艳
SHANG Yan(Obstetrics and Gynecology Department,Jingbian County People＇s Hospital,Yulin 718500,China)
出处
《临床医学研究与实践》
2018年第30期153-154,共2页
Clinical Research and Practice
关键词
难治性妇产科大出血
子宫动脉结扎术
导管动脉栓塞术
intractable massive hemorrhage in obstetrics and gynecology
uterine artery ligation
transcatheter arterialembolization
