CAJ | 학술논문

目的：：对子宫大出血患者实施子宫动脉栓塞术进行治疗,探讨其治疗的效果。方法：对本院2010年7月~2012年7月收治的21例子宫大出血患者,设为对照组,该组患者采用子宫切除手术(子宫全切手术或子宫次全切手术)治疗；另选本院2012年8月~2013年9月收治的子宫大出血患者20例,设为观察组,接受Seleinger方法进行双侧子宫动脉插管处理,通过造影技术确认处理结果后将明胶海绵颗粒注入以达到阻断血供的效果。对比2组临床治疗效果。结果：观察组患者在应用子宫动脉栓塞术后均收到了明显的止血效果,止血率达到了100%。在对患者进行止血后没有患者出现严重并发症,另外,止血后患者保留了卵巢完整及其子宫的完整生理功能,相对于对照组患者其效果较好,并发症少,且保留了患者子宫,保留了生育功能,提高了患者的生活质量。观察组患者手术时间、手术后下床活动时间和住院天数均优于对照组患者,且对比差异明显,p＜0.05,差异有统计学意义。结论：对子宫大出血患者应用子宫动脉栓塞术进行治疗不但能够收到突出的临床治疗效果,且对患者身体不会造成严重影响,具有安全高效的特点,对患者的创伤小,痛苦少,可以促进早期恢复,且可以保留患者的生育功能,值得临床推广。
목적：：대자궁대출혈환자실시자궁동맥전새술진행치료,탐토기치료적효과。방법：대본원2010년7월~2012년7월수치적21례자궁대출혈환자,설위대조조,해조환자채용자궁절제수술(자궁전절수술혹자궁차전절수술)치료；령선본원2012년8월~2013년9월수치적자궁대출혈환자20례,설위관찰조,접수Seleinger방법진행쌍측자궁동맥삽관처리,통과조영기술학인처리결과후장명효해면과립주입이체도조단혈공적효과。대비2조림상치료효과。결과：관찰조환자재응용자궁동맥전새술후균수도료명현적지혈효과,지혈솔체도료100%。재대환자진행지혈후몰유환자출현엄중병발증,령외,지혈후환자보류료란소완정급기자궁적완정생리공능,상대우대조조환자기효과교호,병발증소,차보류료환자자궁,보류료생육공능,제고료환자적생활질량。관찰조환자수술시간、수술후하상활동시간화주원천수균우우대조조환자,차대비차이명현,p＜0.05,차이유통계학의의。결론：대자궁대출혈환자응용자궁동맥전새술진행치료불단능구수도돌출적림상치료효과,차대환자신체불회조성엄중영향,구유안전고효적특점,대환자적창상소,통고소,가이촉진조기회복,차가이보류환자적생육공능,치득림상추엄。
Objective:To explore the clinical effect of the application of uterine artery embolization in treatment of patients with uterine bleeding.Methods:21 patients with uterine bleeding in our hospital from July 2010 to July 2012,as the control group,the group treated with hysterectomy(Hysterectomy surgery or subtotal hysterectomy surgery);then selected 20 patients with uterine bleeding in our hospital from August 2012 to September 2013,as the observer group, accepted Seleinger method uterine artery treatment,after the results confirmed by imaging techniques, the gelatin sponge particles injected in order to achieve the effect of blocking the blood supply. Compared with the treatment between the two groups.Results:After uterine artery embolization, the observer group's hemostatic effect was apparent,Bleeding rate reached 100%.After bleeding, All patients had no complications,and retained the complete physiological function of ovary and uterus,compared with the control group,the treatment was better, fewer complications,and reserved the uterus and the reproductive function,To improve the patient's quality of life. the operative time,postoperative ambulation,hospital days The observer group was better than the control group,the difference was statistically significant(P<0.05).Conclusion:Treatmented patients with uterine bleeding,used of uterine artery embolization,had a very good therapeutic effect,and does not have a serious impact with the body of the patient,was security and efficient,trauma,less pain,can promote early recovery,was helpful to promote the early recovery,and to preserve the patient's reproductive function,worthy of promotion.