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目的:对比单纯子宫动脉栓塞和结合髂内动脉栓塞在产后大出血救治中的疗效。方法:对采用单纯子宫动脉栓塞(单纯栓塞组,n=13)和子宫动脉结合髂内动脉栓塞(联合栓塞组,n=14)治疗的产后大出血患者进行回顾性分析。结果:单纯栓塞组术后4例仍有出血,止血成功率69.23%;联合栓塞组止血成功率100%。两组比较具有统计学差异(P<0.05)。结论:子宫动脉栓塞结合髂内动脉栓塞治疗产后大出血效果优于单纯子宫动脉栓塞。
Objective: To compare the curative effect of simple uterine artery embolization combined with internal iliac artery embolization in the treatment of postpartum hemorrhage. Methods: The postpartum hemorrhage patients treated with simple uterine arterial embolization (simple embolization group, n = 13) and uterine artery combined with internal iliac artery embolization (combined embolization group, n = 14) were retrospectively analyzed. Results: In the simple embolization group, bleeding was still occurred in 4 patients and the success rate of hemostasis was 69.23%. The successful rate of hemostasis was 100% in the combined embolization group. The two groups were statistically significant (P <0.05). Conclusion: Uterine artery embolization combined with internal iliac artery embolization is superior to simple uterine artery embolization in treating postpartum hemorrhage.