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目的探究子宫动脉栓塞术对难治性妇产科大出血的治疗效果及其重要的影响。方法在本院妇产科就诊患者中选择68例研究,随机分为对照组和干预组,两组患者的年龄、病情、生活习惯等临床资料比较,差异无统计学意义(P>0.05),具有可比性。对照组给予患者传统的子宫动脉结扎术,干预组给予患者子宫动脉栓塞术进行治疗,比较两组患者临床手术的效果即:平均手术时间、患者的出血量、术后阴道流血持续的天数、需要行子宫切除术的情况、止血的有效率及患者术后的体温变化情况。结果与对照组相比干预组的平均手术时间、术后阴道流血持续的时间都明显的缩短、患者的出血量减少、子宫保留率明显的提高,止血的有效率明显的提高,且两者之间的差异有统计学意义(P<0.05)。子宫栓塞术可以更有效的治疗难治性妇产科大出血,降低患者子宫切除率,保证了患者的生命安全和生活质量。结论子宫栓塞术与传统的结扎术相比具有手术时间短、出血量少、术后并发症少、保留子宫率高、止血效果好等优点,可以更有效的治疗难治性的妇产科的大出血,挽救患者的生命并保证了患者的预后,在临床治疗中可以广泛应用。
Objective To investigate the effect of uterine arterial embolization on refractory obstetric hemorrhage and its important effect. Methods 68 cases of obstetrics and gynecology patients in our hospital were selected and randomly divided into control group and intervention group. There was no significant difference in clinical data between the two groups (P> 0.05), such as age, illness and lifestyle. Comparable. The control group was given conventional uterine artery ligation, and the intervention group was given uterine artery embolization for treatment. The clinical effects of two groups of patients were compared: the average operation time, the amount of bleeding in patients, the number of vaginal bleeding after surgery, the number of days required Hysterectomy, the effective rate of hemostasis and postoperative changes in body temperature. Results Compared with the control group, the average operation time and duration of postoperative vaginal bleeding were significantly shortened, the amount of bleeding in patients decreased, the rate of uterine retention significantly increased, and the effective rate of hemostasis was significantly improved, and both The difference was statistically significant (P <0.05). Uterine embolization can be more effective treatment of refractory obstetrics and gynecology bleeding, reduce hysterectomy rates, to ensure the patient’s life safety and quality of life. Conclusion Compared with traditional ligation, uterine embolization has the advantages of short operative time, less bleeding, less postoperative complications, high uterine retention rate, good hemostatic effect and more effective in the treatment of refractory obstetrics and gynecology Bleeding, saving the lives of patients and ensure the prognosis of patients in clinical treatment can be widely used.