难治性妇产科大出血临床对比分析  

Clinical analysis of refractory obstetrics and gynecology hemorrhage

作　　者：江絮萍[1] 

机构地区：[1]武警福建总队医院妇产科,福建福州350003

出　　处：《中国医药科学》2014年第5期168-169,206,共3页China Medicine And Pharmacy

摘　　要：目的比较髂内动脉结扎术(UAL)和导管动脉栓塞术(TAE)治疗难治性产妇大出血的临床效果。方法按照患者意愿将我院收治的92例难治性大出血患者分为TAE组50例和UAL组42例,分别行TAE和UAL治疗,比较两组患者手术时间、术中出血量、术后阴道流血时间、子宫切除率、止血有效率、术后并发症发生率和住院时间。结果 TAE组患者手术时间和止血有效率均明显高于UAL组,术中出血量、术后阴道流血时间、子宫切除率、术后并发症发生率和住院时间均明显低于UAL组,差异具有统计学意义(P<0.05)。结论 TAE治疗难治性大出血止血效果好、术后并发症少、住院时间短、能够最大限度保留患者子宫,可作为治疗难治性大出血的首选术式。Objective To compare the clinical effects of the refractory obstetrics and gynecology hemorrhage by UAL and TAE. Methods 92 eases of patients with refractory obstetrics and gynecology hemorrhage were divided into TAE group（50 cases） and UAL group（42 cases）. The operative time, mean bleeding volum, the time of vaginal bleeding after surgery, the rate of hysterectomy, the rate of hemostasis, the rate of complication and the length of stay were compared. Results The operative time and the rate of hemostasis in TAE group were higher than the UAL group （P 〈 0.05）, the mean bleeding volum, the time of vaginal bleeding after surgery, the rate of hysterectomy, the rate of complication and the length of stay in TAE group were lower than the UAL group（P 〈 0.05）. Conclusion It has good clinical effects, few complication, short hospitalization time, and it can reserving their uterus maximum limit. It can be as the principal choice for the refractory obstetrics and gynecology hemorrhage.

关 键 词：髂内动脉结扎术 导管动脉栓塞术 妇产科 难治性大出血 

分 类 号：R714[医药卫生—妇产科学]