子宫动脉结扎与盆腔动脉栓塞治疗难治性产后出血的临床应用探讨  

Clinical Application of Uterine Artery Ligation and Pelvic Artery Embolization in the Treatment of Refractory Postpartum Hemorrhage

作　　者：孙洪莲 SUN Hong-lian(Department of Obstetrics,Zichuan District Hospital,Zibo,Shandong Province,255000 China)

机构地区：[1]淄博市淄川区医院产科,山东淄博255000

出　　处：《中外医疗》2020年第2期56-58,共3页China & Foreign Medical Treatment

摘　　要：目的以对比研究方式总结难治性产后出血中子宫动脉结扎和盆腔动脉栓塞的应用效果。方法在2016年1月-2019年1月作为该次研究时间段,在时间段内方便选取难治性产后出血产妇100例作为案例进行对比研究。在产妇入院时以随机数字法方式进行分组处理。实验组与研究组分别采用子宫动脉结扎手术、盆腔动脉栓塞手术治疗。对比两组产妇的止血疗效、手术效果。结果实验组产妇的治疗总有效率96.00%与研究组的治疗总有效率94.00%相近,差异无统计学意义(χ^2=2.201,P>0.05);研究组产妇的各项手术效果指标均显著优于实验组,差异有统计学意义(t=6.245、7.201、6.255、6.997,P<0.05)。结论子宫动脉结扎与盆腔动脉栓塞治疗难治性产后出血的临床应用效果均比较理想,两种方式均能够达到理想的止血治疗目标,相对而言盆腔动脉栓塞的术中出血量更少、手术速度更快,在临床中需根据产妇的具体情况选择最佳的止血方式,保障临床治疗综合效益。Objective To compare the application of uterine artery ligation and pelvic artery embolization in refractory postpartum hemorrhage by comparative study.Methods From January 2016 to January 2019,as the study interval,100 cases of refractory postpartum hemorrhage were convenient selected as a case study.Grouping was performed by random number method when the woman was admitted to the hospital.The experimental group and the study group were treated with uterine artery ligation and pelvic artery embolization.Compare the hemostatic effect and surgical outcome of the two groups of women.Results The total effective rate of treatment in the experimental group 96.00%was similar to the total effective rate of treatment in the study group 94.00%.The difference were not statistically significant(χ^2=2.201,P>0.05).The results of all surgical procedures were significantly better than the experimental group,the difference was statistically significant(t=6.245,7.201,6.255,6.997,P<0.05).Conclusion The clinical application of uterine artery ligation and pelvic artery embolization in the treatment of refractory postpartum hemorrhage is ideal.Both methods can achieve the ideal hemostatic treatment target.Relatively speaking,the intraoperative blood loss of pelvic artery embolization is less and the operation speed is faster,it is necessary to choose the best way to stop bleeding according to the specific conditions of the mother in clinic,to ensure the comprehensive benefits of clinical treatment.

关 键 词：子宫动脉结扎 盆腔动脉栓塞 难治性产后出血 临床应用 

分 类 号：R714.46+1[医药卫生—妇产科学]