CAJ | 학술논문

目的探讨子宫动脉栓塞术(UAE)和子宫全切除术(TH)在治疗难治性产后出血中的应用效果.方法经保守治疗无效的难治性产后出血32例,其中15例行子宫动脉栓塞(UAE),17例行常规筋膜外子宫全切除术(TH).对两组的术前准备时间、手术开始到止血时间、住院时间进行对比分析.结果术前准备时间UAE组(26.2±1.6)min,明显长于TH组(13.5±1.4)min(P<0.01),手术开始到出血停止(血止)时间前者为(47.8±16.2)min,后者为(100.6±18.7)min(P<0.01),两组住院时间前者为(6.1±0.1)d,明显短于后者(8.8±0.5)d(P<0.01).结论应用UAE治疗难治性产后出血具有止血快,创伤小,保留子宫等优点,临床效果较好,但在一些特殊情况下,仍不能取代TH.
목적 탐토자궁동맥전새술(UAE)화자궁전절제술(TH)재치료난치성산후출혈중적응용효과.방법 경보수치료무효적난치성산후출혈32례,기중15례행자궁동맥전새(UAE),17례행상규근막외자궁전절제술(TH).대량조적술전준비시간、수술개시도지혈시간、주원시간진행대비분석.결과 술전준비시간UAE조(26.2±1.6)min,명현장우TH조(13.5±1.4)min(P<0.01),수술개시도출혈정지(혈지)시간전자위(47.8±16.2)min,후자위(100.6±18.7)min(P<0.01),량조주원시간전자위(6.1±0.1)d,명현단우후자(8.8±0.5)d(P<0.01).결론 응용UAE치료난치성산후출혈구유지혈쾌,창상소,보류자궁등우점,림상효과교호,단재일사특수정황하,잉불능취대TH.
Objective To compare the clinic value of uterine artery embolism (UAE) and total hysterectomy (TH) for intractable postpartum hemorrhage. Methods 15 cases of intractable postpartum hemorrhage were performed UAE and other 17 cases of intractable postpartum hemorrhage were performed HE in our hospital during 10 years. Two groups' preoperative preparation time, operation time and the hospitalization time were compared. Results The preoperative preparation time (26.2±1.6) min of UAE was significantly longer than TH group (13.5±1.4) min (P<0.01; the former group's average operation time was (47.8±16.2) min, and the latter group's was (100.6±18.7) min (P<0.01); the hospitalization time of UAE (6.1±0.1) days was significantly shorter than TH group (8.8±0.5) days)(P<0.01). Conclusion With short operation time, low morbidity rate and possibility of preserving reproductive function, UAE is proved to be very effective in the treatment of intractable postpartum hemorrhage, but in some cases, UAE can't replace TH yet.