子宫动脉栓塞介入治疗难治性产后出血的临床观察  

Clinical observation on interventional uterine artery embolization in treatment of refractory postpartum hemorrhage

作　　者：陈冰[1] 任东平[1] 侯朝晖[1] 

机构地区：[1]解放军空军总医院妇产科,北京100142

出　　处：《检验医学与临床》2013年第10期1212-1213,1216,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨子宫动脉栓塞介入治疗难治性产后出血的临床价值。方法回顾分析2009年10月至2012年10月解放军空军总医院采用子宫动脉栓塞介入治疗(观察组)和子宫切除术治疗(对照组)难治性产后出血患者各40例,比较分析两组临床资料。结果观察组患者均一次性栓塞成功,止血有效率为97.50%(39/40),对照组止血有效率95.00%(38/40),两组差异无统计学意义(P>0.05)。观察组患者手术时间、术后下床活动时间和术后平均住院天数等均优于对照组,差异有统计学意义(P<0.05)。观察组患者术后发热、疼痛、感染及继发性贫血等方面均低于对照组,差异有统计学意义(P<0.05)。结论子宫动脉栓塞介入治疗难治性产后出血的止血率与子宫切除术效果相似,但是子宫动脉栓塞介入治疗手术时间短、创伤小、痛苦少和患者恢复快,有利于患者术后康复,值得临床推广应用。Objective To investigate the clinical value of interventional uterine artery embolization in treatment of refractory postpartum hemorrhage. Methods 40 patients receiving interventional uterine artery embolization （observation group） and 40 patients receiving hysterectomy （control group） from October 2009 to October 2012 were retrospectively analyzed, and the clinical data was compared between the two groups. Results All the patients of the observation group were successfully embolized at the first time, with a hemostasis effective rate of 97.50% （39/40）, which of the control group was 95.00% （38/40）, and the difference in hemostasis effective rate between the two groups had no statistical significance （P〉0.05）. The operative time, postoperative out-of-bed activity time and average postoperative length of stay and so on of the observation group were all better than those of the control group, and the differences were all statistically significant （P〈0.05）. The conditions of postoperative fever, pain, infection and secondary anemia and so on of the observation group were all better than those of the control group, and the differences had no statistical significance （P〉0.05）. Conclusion Interventional uterine artery embolization in treat- ment of refractory postpartum hemorrhage could have a similar hemostasis rate to hysterectomy, but a rapider speed in operation, smaller wound, less pain and rapider recovery speed, which might be beneficial to the postoperative re- habilitation of the patients and consequently be worthy of clinical generalization and application.

关 键 词：子宫动脉栓塞术 介入治疗 子宫切除术 难治性产后出血 

分 类 号：R714.461[医药卫生—妇产科学]