中国卫生产业
中國衛生產業
중국위생산업
CHINA HEALTH INDUSTRY
2014年
23期
1-2
,共2页
难治性产后出血%子宫动脉栓塞术%子宫切除术%临床疗效
難治性產後齣血%子宮動脈栓塞術%子宮切除術%臨床療效
난치성산후출혈%자궁동맥전새술%자궁절제술%림상료효
Refractory postpartum hemorrhage%Interventional uterine artery embolization%Traditional hysterectomy%Clinical effect
目的：探讨子宫动脉栓塞术治疗产科出血的临床疗效。方法选取我院收治的130例难治性产后出血患者，随机分为对照组和实验组2组，对照组采用子宫切除术治疗，实验组采用子宫动脉栓塞介入治疗，比较2组患者临床疗效。结果对照组患者止血有效率为93.85%（61/65），实验组患者止血有效率为96.92%（63/65），两组数据比较，差异无统计学意义（P＞0.05）；实验组患者手术时间、术后下床活动时间及住院天数均优于对照组，差异具有统计学意义（P＜0.05）；对照组患者各种并发症的发生率与实验组患者比较，差异较大，具有统计学意义（P＜0.05）。结论子宫动脉栓塞术治疗难治性产后出血的手术时间短、创伤小、患者恢复快，值得临床推广应用。
目的：探討子宮動脈栓塞術治療產科齣血的臨床療效。方法選取我院收治的130例難治性產後齣血患者，隨機分為對照組和實驗組2組，對照組採用子宮切除術治療，實驗組採用子宮動脈栓塞介入治療，比較2組患者臨床療效。結果對照組患者止血有效率為93.85%（61/65），實驗組患者止血有效率為96.92%（63/65），兩組數據比較，差異無統計學意義（P＞0.05）；實驗組患者手術時間、術後下床活動時間及住院天數均優于對照組，差異具有統計學意義（P＜0.05）；對照組患者各種併髮癥的髮生率與實驗組患者比較，差異較大，具有統計學意義（P＜0.05）。結論子宮動脈栓塞術治療難治性產後齣血的手術時間短、創傷小、患者恢複快，值得臨床推廣應用。
목적：탐토자궁동맥전새술치료산과출혈적림상료효。방법선취아원수치적130례난치성산후출혈환자，수궤분위대조조화실험조2조，대조조채용자궁절제술치료，실험조채용자궁동맥전새개입치료，비교2조환자림상료효。결과대조조환자지혈유효솔위93.85%（61/65），실험조환자지혈유효솔위96.92%（63/65），량조수거비교，차이무통계학의의（P＞0.05）；실험조환자수술시간、술후하상활동시간급주원천수균우우대조조，차이구유통계학의의（P＜0.05）；대조조환자각충병발증적발생솔여실험조환자비교，차이교대，구유통계학의의（P＜0.05）。결론자궁동맥전새술치료난치성산후출혈적수술시간단、창상소、환자회복쾌，치득림상추엄응용。
Obgective To investigate the clinical value of interventional uterine artery embolization in treatment of refractory post-partum hemorrhage. Methods 130 patients with postpartumhemorrhage were randomly allocated to control group and experiment group. The control group was treated with traditional hysterectomy and the experiment group was treated with interventional uterine artery embolization. The clinical efficacy of the two groups of patients was compared. Results The hemostasis effective rate of the control group was 93.85%(61/65)and the hemostasis effective rate of the experiment group was 96.92%(63/65). There was no sta-tistically significant difference (P>0.05). The operative time, postoperative out-of-bed activity time and average postoperative length of stay and so on of the experiment group were all better than those of the control group, and the differences were all statis-tically significant (P<0.05). The conditions of postoperative ,pain and so on of the experiment group were all better than those of the control group, and the differences were all statistically significant (P<0.05). Conclusion Interventional uterine artery emboliza-tion in treatment of refractory postpartum hemorrhage could have a rapider speed in operation, smaller wound ,less pain ,which might be benificial to the postoperative rehabilitation of the patients and consequently be worthy of clinical application.
