研究选择性子宫动脉栓塞治疗产后出血的临床效果  

Research on clinical effect of selective artery embolization in the treatment of postpartum hemorrhage

作　　者：刘月华[1] 

机构地区：[1]郑州大学第三附属医院产科,450052

出　　处：《中国现代药物应用》2017年第1期77-79,共3页Chinese Journal of Modern Drug Application

摘　　要：目的研究选择性子宫动脉栓塞治疗产后出血的临床效果,探讨选择性子宫动脉栓塞治疗的安全性。方法 70例产后出血患者作为研究对象,依据治疗方法的不同分为常规组与治疗组,各35例。常规组患者接受常规的手术治疗,治疗组患者接受选择性子宫动脉栓塞治疗。对比两组患者的临床疗效。结果治疗组治疗有效率为94.29%,分娩时出血量为(1051±1260)ml,术后阴道出血量为(2448±994)ml,子宫保留率为94.29%,止血总有效率为85.71%;常规组治疗有效率为77.14%,分娩时出血量为(1680±1325)ml,术后阴道出血量为(2972±1164)ml,子宫保留率为62.86%,止血总有效率为60.00%;治疗组均优于常规组,差异均具有统计学意义(P<0.05)。治疗组不良反应发生率22.86%低于常规组45.71%,差异具有统计学意义(P<0.05)。结论选择性子宫动脉栓塞治疗产后出血患者,临床效果确切,患者产后出血量减少,有效减少了并发症发生,值得推广。Objective To research clinical effect of selective artery embolization in the treatment of postpartum hemorrhage and explore security of selective artery embolization for treatment. Methods A total of 70 postpartum hemorrhage patients as study subjects were divided by different treatment methods into conventional group and treatment group, with 35 cases in each group. The conventional group had conventional operation for treatment, and the treatment group received selective artery embolization for treatment. Clinical effectwas compared in two groups. Results The treatment group had total treatment effective rate as 94.29%, intrapartum bleeding volume as（1051±1260）ml, postoperative vaginal bleeding volume as（2448±994） ml, uterus retention rate as 94.29%, and total hemostasis effective rate as 85.71%; the conventional group had total treatment effective rate 77.14%, intrapartum bleeding volume as（1680±1325）ml, postoperative vaginal bleeding volume as（2972±1164） ml, uterus retention rate 62.86%, and total hemostasis effective rate as 60.00%; their differences had statistical significance（P〈0.05）. The treatment group had lower incidence rate as 22.86% than 45.71% in the control group, and the difference had statistical significance（P〈0.05）. Conclusion Selective artery embolization shows definite clinical effect with reduced postpartum bleeding volume and occurrence of complications in the treatment of postpartum hemorrhage and explore security of selective artery embolization for treatment, and worth promotion.

关 键 词：选择性子宫动脉栓塞 产后出血 临床效果 

分 类 号：R714.461[医药卫生—妇产科学]