CAJ | 학술논문

目的：比较髂内动脉结扎术（UAL）和导管动脉栓塞术（TAE）治疗难治性产妇大出血的临床效果。方法按照患者意愿将我院收治的92例难治性大出血患者分为TAE组50例和UAL组42例，分别行TAE和UAL治疗，比较两组患者手术时间、术中出血量、术后阴道流血时间、子宫切除率、止血有效率、术后并发症发生率和住院时间。结果 TAE组患者手术时间和止血有效率均明显高于UAL组，术中出血量、术后阴道流血时间、子宫切除率、术后并发症发生率和住院时间均明显低于UAL组，差异具有统计学意义（ P＜0.05）。结论 TAE治疗难治性大出血止血效果好、术后并发症少、住院时间短、能够最大限度保留患者子宫，可作为治疗难治性大出血的首选术式。
목적：비교가내동맥결찰술（UAL）화도관동맥전새술（TAE）치료난치성산부대출혈적림상효과。방법안조환자의원장아원수치적92례난치성대출혈환자분위TAE조50례화UAL조42례，분별행TAE화UAL치료，비교량조환자수술시간、술중출혈량、술후음도류혈시간、자궁절제솔、지혈유효솔、술후병발증발생솔화주원시간。결과 TAE조환자수술시간화지혈유효솔균명현고우UAL조，술중출혈량、술후음도류혈시간、자궁절제솔、술후병발증발생솔화주원시간균명현저우UAL조，차이구유통계학의의（ P＜0.05）。결론 TAE치료난치성대출혈지혈효과호、술후병발증소、주원시간단、능구최대한도보류환자자궁，가작위치료난치성대출혈적수선술식。
Objective To compare the clinical effects of the refractory obstetrics and gynecology hemorrhage by UAL and TAE. Methods 92 cases of patients with refractory obstetrics and gynecology hemorrhage were divided into TAE group(50 cases) and UAL group(42 cases). The operative time, mean bleeding volum, the time of vaginal bleeding after surgery, the rate of hysterectomy, the rate of hemostasis, the rate of complication and the length of stay were compared. Results The operative time and the rate of hemostasis in TAE group were higher than the UAL group (P<0.05), the mean bleeding volum, the time of vaginal bleeding after surgery, the rate of hysterectomy, the rate of complication and the length of stay in TAE group were lower than the UAL group(P<0.05). Conclusion It has good clinical effects, few complication, short hospitalization time, and it can reserving their uterus maximum limit. It can be as the principal choice for the refractory obstetrics and gynecology hemorrhage.