摘要
目的 观察难治性产后大出血产妇接受子宫动脉栓塞术治疗的疗效。方法 80例难治性产后大出血产妇,根据治疗方法的不同分为研究组与对照组,每组40例。研究组采用子宫动脉栓塞术治疗,对照组给予子宫动脉结扎术治疗。比较两组产妇手术时间、产后总出血量、阴道出血时间、疗效及并发症发生情况。结果 研究组手术时间(41.30±7.09)min、阴道出血时间(11.92±2.21)h短于对照组的(71.63±5.94)min、(17.81±2.62) h,产后总出血量(980.58±223.47)ml少于对照组的(1484.15±246.86)ml,差异具有统计学意义(P<0.05)。研究组治疗总有效率95.00%(38/40)高于对照组的75.00%(30/40),差异具有统计学意义(P<0.05)。研究组发生右下肢疼痛0例,臀部会阴部疼痛1例,发热1例,并发症发生率为5.00%(2/40);对照组发生右下肢疼痛3例,臀部会阴部疼痛3例,发热7例,并发症发生率为32.50%(13/40)。研究组并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论 难治性产后大出血产妇行子宫动脉栓塞术的治疗效果明显,不仅能缩短产妇手术时间及阴道出血时间,也可以提升治疗效果,且安全性较高,是一种值得在临床上推广使用的治疗方案。
Objective To observe the efficacy of uterine artery embolization in the treatment of intractable postpartum hemorrhage. Methods A total of 80 cases of intractable postpartum hemorrhage were divided into research group and control group according to different treatment methods, with 40 cases in each group. The research group was treated with uterine artery embolization, while the control group was treated with uterine artery ligation. The operation time, total postpartum bleeding volume, vaginal bleeding time, efficacy, and occurrence of complications of the two groups were compared. Results The operation time(41.30±7.09) min and vaginal bleeding time(11.92±2.21) h in the research group were shorter than(71.63±5.94) min and(17.81±2.62) h in the control group;the total postpartum bleeding volume(980.58±223.47) ml in the research group was less than(1484.15±246.86) ml in the control group;the differences were statistically significant(P<0.05). The total effective rate of treatment in the research group was 95.00%(38/40), which was higher than 75.00%(30/40) in the control group, and the difference was statistically significant(P<0.05). In the research group, there were 0 case of right lower limb pain, 1 case of hip perineum pain, 1 case of fever, and the incidence of complications was 5.00%(2/40);in the control group, there were 3 cases of right lower limb pain, 3 cases of hip perineum pain,7 cases of fever, and the incidence of complications was 32.50%(13/40). The incidence of complications in the research group was lower than that in the control group, and the difference was statistically significant(P<0.05).Conclusion Uterine artery embolization is effective in the treatment of intractable postpartum hemorrhage. It can not only shorten the operation time and vaginal bleeding time, but also improve the therapeutic effect with high safety. It is a treatment scheme worthy of clinical promotion and application.
作者
丛夏丽
CONG Xia-li(Huludao Maternal and Child Health and Family Planning Service Center,Huludao 125000,China)
出处
《中国实用医药》
2023年第1期80-82,共3页
China Practical Medicine
关键词
子宫动脉栓塞术
难治性产后大出血
子宫动脉结扎术
Uterine artery embolization
Intractable postpartum hemorrhage
Uterine artery ligation
