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目的 探讨子宫动脉栓塞术在不同难治性产后出血患者中的应用效果.方法 将50例难治性产后出血患者根据治疗方式分为两组,各25例.两组均给予常规方式进行治疗,观察组在此基础上给予子宫动脉栓塞术.比较两组治疗总有效率、止血时间、产后2 h及24 h出血量、并发症发生率及治疗前后血流动力学指标.结果 两组治疗总有效率比较差异无统计学意义(P＞0.05),观察组止血时间显著短于对照组(P＜0.01),产后2 h及24 h出血量显著少于对照组(P＜0.01),两组并发症发生率比较差异无统计学意义(P＞0.05).治疗前后两组血流动力学指标比较差异无统计学意义(P＞0.05).结论 子宫动脉栓塞在不同难治性产后出血患者中的应用效果较好,且对患者的血流动力学影响较小,安全性较高,值得推广应用.“,”Objective To observe the application effect of uterine arterial embolization in the patients with different types of intractable postpartum hemorrhage. Methods 50 patients with intractable postpartum hemorrhage were selected and divided into two group, 25 cases in each group. The two groups were all given conventional treatment, the observation group was treated with uterine arterial embolization on this basis. The treatment total effective rate,hemostasis time, postpartum hemorrhage at 2 h and 24 h, complication rate, hemodynamic indexes before and after the treatment of two groups were compared. Results There was no statistic significance in the total effective rate between the two groups(P＞0.05),the hemostasis time of the observation group was shorter than that of control group (P＜0.01), the postpartum hemorrhage at 2 h and 24 h were less than those of control group(P＜0.01),there was no statistic significance in the complication rate between the two groups(P＞0.05). There was no statistic significance in the hemodynamic indexes between the two groups before and after the treatment(P＞0.05). Conclusion The application effect of uterine arterial embolization in the patients with different types of intractable postpartum hemorrhage is better,it has less influence on hemodynamic indexes, the safety is higher, and it is worthy of popularization and application.