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目的分析盆腔动脉栓塞术治疗原发性产后出血的效果及安全性。方法选取青岛市妇女儿童医院2014年7月-2015年11月收治的46例原发性产后出血患者,采用双色球分组法分为对照组和观察组各23例,对照组患者采用盆腔血管结扎术进行治疗,观察组患者采用盆腔动脉栓塞术进行治疗。比较两组患者在不同治疗方式下术中出血量、手术时间及起效的时间,并对两组患者的治疗效果、术后并发症的发生情况进行比较。结果观察组患者术中出血量(224.78±42.61)ml、手术时间(77.31±14.57)min、起效时间(8.29±3.20)min显著优于对照组患者,差异有统计学意义(P<0.05)。观察组患者的治疗有效率91.30%显著高于对照组的73.91%,差异有统计学意义(P<0.05)。观察组患者术后并发症发生率13.04%明显低于对照组的31.13%,差异有统计学意义(P<0.05)。结论盆腔动脉栓塞术治疗原发性产后出血有良好的疗效,术中出血量少、手术时间短、见效快并且术后并发症较少,值得推广应用。
Objective To analyze the efficacy and safety of pelvic arterial embolization in the treatment of primary postpartum hemorrhage. Methods Forty-six patients with primary postpartum hemorrhage admitted to Qingdao Women’s and Children’s Hospital from July 2014 to November 2015 were divided into control group and observation group (23 cases each) by bicolor ball grouping method. Patients in control group were treated with pelvic vascular ligation The patients in the observation group were treated with pelvic artery embolization. The blood loss, operation time and onset time of the two groups were compared under different treatment methods. The treatment effect and postoperative complications of the two groups were compared. Results The intraoperative blood loss (224.78 ± 42.61) ml, the operation time (77.31 ± 14.57) min and the onset time (8.29 ± 3.20) min in the observation group were significantly better than those in the control group (P <0.05) . The effective rate of treatment in observation group was 91.30%, which was significantly higher than that in control group (73.91%), the difference was statistically significant (P <0.05). The incidence of postoperative complications in observation group was significantly lower than that in control group (13.04% vs 31.13%, P <0.05). Conclusions Pelvic arterial embolization has a good curative effect in the treatment of primary postpartum hemorrhage. It has less blood loss, shorter operation time, quick response and less postoperative complications. It is worth popularizing and applying.