选择性子宫动脉栓塞术治疗难治性产后出血效果分析  

Therapeutic Effect of Selective Uterine Artery Embolization in the Treatment of Refractory Postpartum Hemorrhage

作　　者：沈婕 李秋梅[1] 

机构地区：[1]肇庆市第二人民医院,广东肇庆526040

出　　处：《深圳中西医结合杂志》2017年第18期7-9,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:对选择性子宫动脉栓塞术治疗难治性产后出血(PPH)的疗效进行研究。方法:选取2014年1月至2016年12月于肇庆市第二人民医院进行分娩并出现难治性PPH的患者共80例,按照治疗方法分为两组,行子宫切除术患者28例,为对照组;行选择性子宫动脉栓塞术的患者52例,为观察组。对两组患者止血成功率、手术及住院指标、术后血压以及不良反应发生率进行比较。结果:两组患者的止血成功率比较,差异无统计学意义(P>0.05),观察组患者的总出血量、手术时间、术后下床时间、住院时间均显著小于对照组,差异具有统计学意义(P<0.05)。两组患者术后收缩压、舒张压、心率比较,差异无统计学意义(P>0.05)。两组患者的不良反应发生率比较,差异无统计学意义(P>0.05)。结论:选择性子宫动脉栓塞术可有效治疗难治性PPH,并且有利于患者恢复。Objective To study the effi cacy of selective uterine artery embolization in the treatment of refractory postpartum hemorrhage. Methods A total of 80 patients who underwent childbirth and refractory postpartum hemorrhage from January 2014 to December 2016 were enrolled in a total of 28 patients underwent hysterectomy for the control group. 52 cases patients with selective uterine arterial embolization were observed. The success rate of hemostasis, surgery and hospitalization index, postoperative blood pressure and the incidence of adverse reactions were compared between the two groups. Results There was no signifi cant difference in the success rate of hemostasis between the two groups（P〈0.05）. The total bleeding volume, operation time, postoperative bedtime and hospital stay were significantly lower in the observation group than those in the control group（P〈0.05）. There was no signifi cant difference in systolic blood pressure, diastolic blood pressure and heart rate between the two groups（P〈0.05）. There was no significant difference in the incidence of adverse reactions between the two groups（P〈0.05）.Conclusion Selective uterine artery embolization can be effective in the treatment of refractory postpartum hemorrhage, and is conducive to recovery of patients, worthy of clinical promotion.

关 键 词：选择性子宫动脉栓塞术 难治性产后出血 子宫切除术 

分 类 号：R713.4[医药卫生—妇产科学] R714.461[医药卫生—临床医学]