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目的研究盆腔动脉栓塞术对原发性产后出血(PPH)患者的疗效及安全性。方法选择2011年3月至2016年3月PPH患者40例,依据治疗方案随机分为观察组及对照组,每组20例。观察组使用盆腔动脉栓塞方案,对照组使用盆腔血管结扎治疗方案,比较手术后两组治疗效果。结果观察组术中出血量和总出血量以及手术时间均明显少于对照组,差异有统计学意义(P<0.05)。止血手术以后,在总止血成功率方面观察组明显高于对照组,差异有统计学意义(P<0.05)。结论盆腔动脉栓塞术在减少出血量和提升止血成功率方面的优势更加明显,因此可以将其作为治疗PPH的首要考虑方案。
Objective To study the efficacy and safety of pelvic arterial embolization in patients with primary postpartum hemorrhage (PPH). Methods From March 2011 to March 2016, 40 patients with PPH were randomly divided into observation group and control group according to the treatment plan, with 20 cases in each group. The observation group used the pelvic artery embolization program, the control group used the pelvic vascular ligation treatment program, and compared the therapeutic effect of the two groups after operation. Results The intraoperative blood loss, total blood loss and operation time in the observation group were significantly less than those in the control group (P <0.05). After hemostasis surgery, the observation group in the total hemostatic success rate was significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusion The advantage of pelvic artery embolization in reducing the amount of bleeding and improving the success rate of hemostasis is more obvious, so it can be considered as the primary consideration in the treatment of PPH.