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目的观察子宫动脉栓塞术治疗难治性妇产科大出血的疗效。方法 56例难治性妇产科大出血患者,随机分为观察组与对照组,各28例。观察组行子宫动脉栓塞术,对照组行子宫动脉结扎术。比较两组的手术情况及术后情况。结果手术情况:观察组术中出血量(768.5±46.8)ml、手术时间(45.23±6.90)min、子宫切除率7.1%、止血有效率92.9%均优于对照组的(1134.4±95.1)ml、(78.70±10.20)min、46.4%、53.6%(P<0.05)。术后情况:两组最高体温[(38.2±0.8)℃VS(38.6±0.7)℃]、腹部不适[42.9%VS 39.3%]、疼痛[50.0%VS 46.4%]、阴道出血时间[(9.6±3.1)d VS(11.4±6.5)d]比较差异均无统计学意义(P>0.05)。结论子宫动脉栓塞术在治疗难治性妇产科大出血方面疗效肯定,且患者术后情况稳定,未见严重并发症,是较为有效、安全的一种治疗技术,值得推广。
Objective To observe the curative effect of uterine artery embolization on refractory obstetrics and gynecology major bleeding. Methods 56 patients with refractory obstetrics and gynecology bleeding were randomly divided into observation group and control group, 28 cases in each. The observation group underwent uterine arterial embolization and the control group underwent uterine artery ligation. The operation and postoperative condition of the two groups were compared. Results The operative conditions were as follows: the blood loss in the observation group was 768.5 ± 46.8 ml, the operation time was 45.23 ± 6.90 min, the hysterectomy rate was 7.1% and the effective rate of hemostasis was 92.9%, which was superior to that of the control group (1134.4 ± 95.1) ml, (78.70 ± 10.20) min, 46.4% and 53.6% respectively (P <0.05). Postoperatively, the maximum body temperature (38.2 ± 0.8 ℃ vs 38.6 ± 0.7 ℃), abdominal discomfort (42.9% VS 39.3%), pain (50.0% vs 46.4%) and vaginal bleeding time (9.6 ± 3.1) d VS (11.4 ± 6.5) d], there was no significant difference (P> 0.05). Conclusions Uterine artery embolization is effective in treating refractory obstetric and gynecologic bleeding, and the postoperative condition is stable. There is no serious complication, which is a more effective and safe treatment technique and worthy of popularization.