目的:研究子宫动脉栓塞术在治疗妇产科急性出血中的临床应用效果。方法:选取妇产科急性出血患者64例,随机分为实验组及对照组,对照组行子宫动脉结扎术,实验组行子宫动脉栓塞术,观察两组治疗效果。结果:实验组治疗前血红蛋白(67.6±12.3)g/L,治疗后(117.2±15.4)g/L;对照组治疗前血红蛋白(68.1±11.8)g/L,治疗后(101.2±14.9)g/L;两组患者治疗后血红蛋白均有所升高,而实验组升高幅度超过对照组,且差异具有统计学意义(P<0.05)。实验组手术总时间、术后出血量、阴道出血时间及子宫切除率均低于对照组,差异具有统计学意义(P<0.05)。实验组切口感染率、会阴疼痛率、下腹疼痛率及臀部疼痛率分别为3.1%、6.2%、12.5%及3.1%;对照组分别为3.1%、15.6%、28.1%及15.6%。两组切口感染率无统计学差异(P>0.05);实验组会阴疼痛率,下腹疼痛率及臀部疼痛率均低于对照组,且差异具有统计学差异(P<0.05)。结论对于妇产科急症出血,在保守治疗无效的情况下,急诊经导管动脉栓塞术具有操作简单、止血迅速、有效、并发症少的优点,并且可保留子宫,是一种较理想的治疗方法,值得推广。 Objective: To study the clinical effect of uterine artery embolization in the treatment of acute obstetrics and gynecology. Methods: Sixty-four patients with acute obstetrics and gynecology were selected and randomly divided into experimental group and control group. The control group received uterine artery ligation and the experimental group received uterine arterial embolization. The therapeutic effect was observed in both groups. Results: Before treatment, hemoglobin (67.6 ± 12.3) g / L in the experimental group was (117.2 ± 15.4) g / L after treatment and 68.1 ± 11.8 g / L in the control group before treatment (101.2 ± 14.9) g / L; hemoglobin in both groups after treatment increased, while the experimental group increased more than the control group, and the difference was statistically significant (P <0.05). The total operation time, postoperative blood loss, vaginal bleeding time and hysterectomy rate of the experimental group were lower than those of the control group, with statistical significance (P <0.05). Incision infection rate, perineal pain rate, abdominal pain rate and hip pain rate were 3.1%, 6.2%, 12.5% ​​and 3.1% in the experimental group and 3.1%, 15.6%, 28.1% and 15.6% in the control group respectively. There was no significant difference in incision infection rate between the two groups (P> 0.05). The perineal pain rate, abdominal pain rate and buttock pain rate in the experimental group were all lower than those in the control group (P <0.05). Conclusions For emergency treatment of obstetrics and gynecology, acute transcatheter arterial embolization has the advantages of simple operation, quick and effective hemostasis, less complications, and preserving the uterus in the case of ineffective conservative treatment, which is an ideal treatment , Worth promoting.