选择性子宫动脉栓塞术对难治性产后出血的应用效果研究  

Effect of Selective Uterine Artery Embolization on Refractory Postpartum Hemorrhage

作　　者：何佳佳 HE Jia-jia(Department of Obstetrics and Gynecology,Dianjiang County People's Hospital,Chongqing,408300 China)

机构地区：[1]重庆市垫江县人民医院妇产科,重庆408300

出　　处：《中外医疗》2019年第5期77-79,共3页China & Foreign Medical Treatment

摘　　要：目的研究分析难治性产后出血患者采用选择性子宫动脉栓塞术治疗的临床效果。方法该院于2016年5月—2018年5月方便选取的46例难治性产后出血患者作为该次研究的对象,采用数字表法随机分组原则,分为参照组和研究组,参照组有23例,予以子宫切除术治疗,研究组有23例,予以选择性子宫动脉栓塞术治疗,对研究组与参照组的临床疗效、治疗后并发症进行比较。结果研究组总有效率为95.65%,与参照组总有效率69.57%比较差异有统计学意义(χ~2=5.447 4,P=0.019 6);研究组手术时间、出血量以及止血时间、术后下床活动时间、住院天数,均与参照组比较差异有统计学意义(t=65.686 2、20.981 7、8.760 6、11.813 5、12.614 6,P=0.000 0、0.000 0、0.000 0、0.000 0、0.000 0);研究组手术并发症发生率为17.39%,与参照组手术并发症发生率26.08%比较差异无统计学意义(χ~2=0.5111,P=0.4747)。结论难治性产后出血患者配合选择性子宫动脉栓塞术,其临床疗效更加确切,值得推广。Objective To analyze the clinical effects of selective uterine artery embolization in patients with refractory postpartum hemorrhage.Methods 46 patients with refractory postpartum hemorrhage convenient selected from May 2016 to May 2018 in our hospital were randomly divided into reference group and study group by the digital group method.23 patients underwent hysterectomy,and 23 patients in the study group were treated with selective uterine artery embolization.The clinical efficacy and post-treatment complications of the study group and the reference group were compared.Results The total effective rate of the study group was 95.65%,which was different from the total effective rate of the reference group(69.57%)(χ^2=5.447 4,P=0.019 6).The operation time,the amount of bleeding and the time of hemostasis,and the time to get out of the study group,the time of activity and the number of hospital stays were different from those of the reference group(t=65.686 2,20.981 7,8.760 6,11.813 5,12.614 6,P=0.000 0,0.000 0,0.000 0,0.000 0,0.000 0);the incidence of surgical complications in the study group was 17.39%.There was no significant difference between the incidence of surgical complications and the reference group(26.08%),which was not statistically significant(χ^2=0.511 1,P=0.474 7).Conclusion Patients with refractory postpartum hemorrhage combined with selective uterine artery embolization have a more precise clinical effect and are worthy of promotion.

关 键 词：难治性产后出血 选择性子宫动脉栓塞术 子宫切除术 临床治疗效果 

分 类 号：R714.461[医药卫生—妇产科学]