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目的分析妇产科急性出血患者开展子宫动脉栓塞术治疗所呈现的临床疗效及不良事件发生情况,并为该类病种临床治疗积累实践性经验。方法回顾性收集新昌县人民医院于2011年1-12月收治的34例急性出血产妇,均行常规子宫动脉结扎术,为对照组;收集2012年1-12月收治的30例急性出血产妇,均实施子宫动脉栓塞术,为研究组。分析两组产妇治疗前1d及治疗后48h末的血红蛋白值、术后出血量及总手术时间,同时比较两组不良事件发生率。结果研究组手术总时间及阴道出血时间均短于对照组(P<0.05),术后出血量及子宫切除率少于对照组(P<0.05),血红蛋白含量高于对照组(P<0.05)。研究组术后并发症发生率为26.7%(8/30),对照组为67.6%(23/34),差异有统计学意义(P<0.05)。结论子宫动脉栓塞术应用于妇产科急性出血患者相较于子宫动脉结扎术,能促进手术顺利开展,并降低术后不良事件发生率,值得在临床上进一步推广。
Objective To analyze the clinical efficacy and adverse events of patients undergoing uterine arterial embolization in patients with acute hemorrhage of obstetrics and gynecology and to accumulate practical experience for the clinical treatment of such diseases. Methods Retrospectively collected 34 cases of acute bleeding women who were treated in Xinchang County People’s Hospital from January to December, 2011, all underwent routine uterine artery ligation as control group. Thirty cases of acute bleeding women admitted from January to December in 2012 were collected, Uterine artery embolization were implemented for the study group. The hemoglobin value, the amount of postoperative bleeding and the total operation time of the two groups before treatment and at the end of 48h after treatment were analyzed. The incidence of adverse events was compared between the two groups. Results The total operation time and vaginal bleeding time in the study group were shorter than those in the control group (P <0.05). The postoperative bleeding and hysterectomy rates were lower than those in the control group (P <0.05) and hemoglobin levels were higher than those in the control group (P <0.05) . The incidence of postoperative complications was 26.7% (8/30) in the study group and 67.6% (23/34) in the control group, the difference was statistically significant (P <0.05). Conclusion The application of uterine artery embolization in patients with acute hemorrhage in obstetrics and gynecology compared with uterine artery ligation can promote the smooth operation and reduce the incidence of postoperative adverse events, which is worth further promotion in clinic.