CAJ | 학술논문

目的：探讨血管性介入技术应用于胎盘植入致产后大出血的临床效果。方法选取我院2011年8月～2012年8月收治的40例胎盘植入致产后大出血患者，将其随机分为研究组和对照组，研究组患者行血管性介入治疗，对照组患者行 B －Lynch 缝合联合病灶楔形切除术，对比两组患者的临床疗效、手术时间、术中出血量及并发症发生情况。结果研究组和对照组患者均一次性止血成功，保留了子宫，两组患者均恢复正常月经，不过研究组正常月经恢复时间显著短于对照组（p ＜0．05）。研究组手术时间显著少于对照组（p ＜0．01），术中出血量显著少于对照组（p ＜0．05）。两组患者均未出现严重术后并发症。结论血管性介入技术应用于胎盘植入致产后大出血的临床效果显著，可有效止血，且手术时间短、术中出血量少，值得临床推广。
목적：탐토혈관성개입기술응용우태반식입치산후대출혈적림상효과。방법선취아원2011년8월～2012년8월수치적40례태반식입치산후대출혈환자，장기수궤분위연구조화대조조，연구조환자행혈관성개입치료，대조조환자행 B －Lynch 봉합연합병조설형절제술，대비량조환자적림상료효、수술시간、술중출혈량급병발증발생정황。결과연구조화대조조환자균일차성지혈성공，보류료자궁，량조환자균회복정상월경，불과연구조정상월경회복시간현저단우대조조（p ＜0．05）。연구조수술시간현저소우대조조（p ＜0．01），술중출혈량현저소우대조조（p ＜0．05）。량조환자균미출현엄중술후병발증。결론혈관성개입기술응용우태반식입치산후대출혈적림상효과현저，가유효지혈，차수술시간단、술중출혈량소，치득림상추엄。
Objective To study the clinical effects of vascular intervention in the treatment of postpartum hemorrhage caused by placenta accreta .Methods A total of 40 postpartum hemorrhage caused by placenta accreta pa -tients received from Aug 2011 to Aug 2012 were included in this study and randomly divided into study group and con -trol group.Patients in study group were treated by vascular intervention and patients , and the control group were treated by B -Lynch suture joint lesions wedge resection .The clinical efficacy, operative time, blood lose volume and compli-cations were compared between two groups .Results All the patients were hemostasis successfully and retained the ute -rus.The menstruation in two groups were all returned to normal .But the recovery time in study group were significantly less than that in control group(p <0.05).The operation time and blood lose volume in study group were significantly less than that in control group(p <0.01, p <0.05).There was no severe complication in both groups .Conclusion Vascular intervention has a great clinical effects in the treatment of postpartum hemorrhage caused by placenta accrete , which provide a better clinical effects and less operative time and blood lose , and was worth for clinical application .