子宫动脉栓塞技术在妇产科大出血中的应用价值  

Application value of uterine artery embolization technologyfor gynecological hemorrhage

作　　者：余景志 郭静[2] YU Jingzhi;GUO Jing(Department of Radiology,Jingzhou Second People' s Hospital,Jingzhou 434000,Hubei,China;Department of Obstetrics and Gynecology,Jinzhou Second People's Hospital,Jingzhou 434000,Hubei,China)

机构地区：[1]荆州市第二人民医院放射介入科,湖北荆州434000 [2]荆州市第二人民医院妇产科,湖北荆州434000

出　　处：《中国性科学》2019年第1期75-78,共4页Chinese Journal of Human Sexuality

基　　金：湖北省科学技术厅科技成果项目(EK2016D160093001156)

摘　　要：目的探讨子宫动脉栓塞技术在妇产科大出血中的应用价值。方法随机选取2014年5月至2017年5月荆州市第二人民医院收治的妇产科大出血患者80例,依据治疗方法将这些患者分为髂内动脉栓塞技术组(n=40)和子宫动脉栓塞技术组(n=40)两组,对两组患者的插管成功情况、止血有效情况、子宫保留情况、手术时间、出血量、阴道出血持续时间、阴道内无血液时间、体温、术后并发症发生情况进行统计分析。结果子宫动脉栓塞技术组患者的插管成功率、止血有效率、子宫保留率100. 0%(40/40)、62. 5%(25/40)、65. 0%(26/40)均显著高于髂内动脉栓塞技术组85. 0%(34/40)、37. 5%(15/40)、40. 0%(16/40)(P <0. 05),差异具有统计学意义,手术时间、阴道出血持续时间、阴道内无血液时间均显著短于髂内动脉栓塞技术组(P <0. 05),差异具有统计学意义,出血量显著少于髂内动脉栓塞技术组(P <0. 05),差异具有统计学意义,术后并发症发生率22. 5%(9/40)显著低于髂内动脉栓塞技术组42. 5%(17/40)(P <0. 05),差异具有统计学意义。结论子宫动脉栓塞技术在妇产科大出血中的应用价值较髂内动脉栓塞技术高。Objective To explore the application value of uterine artery embolization technology for gynecological hemorrhage.Methods 80 patients with gynecological hemorrhage and in Jingzhou Second Hospital from May 2014 to May 2017 were randomly selected and divided into uterine artery embolization technology group(n=40)and internal iliac artery embolization technology group(n=40)according to the treatment methods.The intubation success rate,hemostasis success rate and uterine retention rate,operation time,bleeding volumes,duration of vaginal bleeding,vaginal no blood time,temperatures,and postoperative complications of the two groups were statistically analyzed.Results The intubation success rate,hemostasis success rate and uterine retention rate in the uterine artery embolization technology group was 100.0%(40/40),62.5%(25/40)and 65.0%(26/40)respectively,significantly higher than the internal iliac artery embolization technology group of 85.0%(34/40),37.5%(15/40),40.0%(16/40)accordingly,with statistically significant differences(P<0.05).The operation time,vaginal bleeding duration and vaginal no blood time were significantly shorter,the amount of bleeding was significantly less and the postoperative complications rate(22.5%vs.42.5%)was significantly lower in the uterine artery embolization technology group than these in the internal iliac artery embolization technology group accordingly,all with statistically significant differences(P<0.05).Conclusions The application value of uterine artery embolization technology in gynecological hemorrhage is higher than internal iliac artery embolization technology.

关 键 词：子宫动脉栓塞技术 妇产科大出血 应用价值 

分 类 号：R714[医药卫生—妇产科学]