中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
Chinese Journal Of Family Planning & Gynecotokology
2015年
9期
53-55,62
,共4页
难治性产后出血%子宫动脉栓塞介入治疗%疗效观察%止血有效率
難治性產後齣血%子宮動脈栓塞介入治療%療效觀察%止血有效率
난치성산후출혈%자궁동맥전새개입치료%료효관찰%지혈유효솔
intractable postpartum hemorrhage%uterine artery embolization%curative effect observation%hemostatic efficiency
目的：探讨采用子宫动脉栓塞( uterine artery embolization, UAE )介入治疗产后出血( postpartum hemorrhage, PPH)的疗效及其安全性。方法回顾性分析2009年11月至2014年9月广元市第一人民医院妇产科收治的60例难治性PPH患者的临床资料,根据不同治疗方式分为观察组(35例)和对照组(25例)。观察组采用UAE介入治疗；对照组采用子宫收缩药物、子宫按摩、宫腔填塞纱布、子宫B-Lynch缝合、Cho缝合、Hwa缝合、子宫动脉结扎等传统方法治疗,比较两组患者临床治疗的手术时间、术后住院时间、术后首次下床活动时间、子宫切除率和死亡率。结果对照组患者的子宫切除率和死亡率(20．0%、8．0%)明显高于观察组(2．9%、0%)( P<0．05)；观察组平均手术时间、术后平均住院时间[(40．27±2．48) min、(7．42±1．24)d]均显著短于对照组[(80．46±4．77)min、(10．34±2．18)d](P<0．05)；观察组术后首次下床活动时间[(5．04±1．34)h]长于对照组[(3．17±1．13)h](P<0．05)。结论 UAE介入治疗能显著减少PPH,提高了难治性PPH的抢救成功率。
目的：探討採用子宮動脈栓塞( uterine artery embolization, UAE )介入治療產後齣血( postpartum hemorrhage, PPH)的療效及其安全性。方法迴顧性分析2009年11月至2014年9月廣元市第一人民醫院婦產科收治的60例難治性PPH患者的臨床資料,根據不同治療方式分為觀察組(35例)和對照組(25例)。觀察組採用UAE介入治療；對照組採用子宮收縮藥物、子宮按摩、宮腔填塞紗佈、子宮B-Lynch縫閤、Cho縫閤、Hwa縫閤、子宮動脈結扎等傳統方法治療,比較兩組患者臨床治療的手術時間、術後住院時間、術後首次下床活動時間、子宮切除率和死亡率。結果對照組患者的子宮切除率和死亡率(20．0%、8．0%)明顯高于觀察組(2．9%、0%)( P<0．05)；觀察組平均手術時間、術後平均住院時間[(40．27±2．48) min、(7．42±1．24)d]均顯著短于對照組[(80．46±4．77)min、(10．34±2．18)d](P<0．05)；觀察組術後首次下床活動時間[(5．04±1．34)h]長于對照組[(3．17±1．13)h](P<0．05)。結論 UAE介入治療能顯著減少PPH,提高瞭難治性PPH的搶救成功率。
목적：탐토채용자궁동맥전새( uterine artery embolization, UAE )개입치료산후출혈( postpartum hemorrhage, PPH)적료효급기안전성。방법회고성분석2009년11월지2014년9월엄원시제일인민의원부산과수치적60례난치성PPH환자적림상자료,근거불동치료방식분위관찰조(35례)화대조조(25례)。관찰조채용UAE개입치료；대조조채용자궁수축약물、자궁안마、궁강전새사포、자궁B-Lynch봉합、Cho봉합、Hwa봉합、자궁동맥결찰등전통방법치료,비교량조환자림상치료적수술시간、술후주원시간、술후수차하상활동시간、자궁절제솔화사망솔。결과대조조환자적자궁절제솔화사망솔(20．0%、8．0%)명현고우관찰조(2．9%、0%)( P<0．05)；관찰조평균수술시간、술후평균주원시간[(40．27±2．48) min、(7．42±1．24)d]균현저단우대조조[(80．46±4．77)min、(10．34±2．18)d](P<0．05)；관찰조술후수차하상활동시간[(5．04±1．34)h]장우대조조[(3．17±1．13)h](P<0．05)。결론 UAE개입치료능현저감소PPH,제고료난치성PPH적창구성공솔。
Objective To discuss the efficacy and safety of uterine artery embolization ( UAE) in the treatment of intractable postpartum hemorrhage( PPH) . Methods The clinical data of 60 cases of patients with intractable PPH in The First People’ s Hospital of Guangyuan City from Nov 2009 to Sep 2014 were retrospectively analyzed, according to the different therapeutic methods, the patients were divided into two groups:25 patients treated by the traditional method were selected as control group, including uterine contractions drug, uterine massage, uterine cavity filling gauze, the B-Lynch suture technique, Cho suture, Hwa suture, uterine artery ligation, while 35 patients treated by UAE interventional treatment were selected as the observation group. The operation time, hospitalization time after operation, postoperative out-of-bed activity time, the uterus resection rate and mortality were compared between two groups. Results The uterus resection rate and mortality rate of the control group (20. 0% and 8. 0%) was significantly higher than those of the observation group (2. 9 % and 0 %) (P<0. 05). The average operative time, average hospitalization time after operation of the observation group [ ( 40. 27 ± 2. 48 ) min, ( 7. 42 ± 1. 24 ) d ] were all shorter than those of the control group [(80.46 ±4.77)min,(10.34 ±2.18)d](P<0.05),postoperative out-of-bed activity time of the observation group[(5.04 ± 1. 34)h] was longer than that of control group[(3. 17 ± 1. 13)h] (P<0. 05). Conclusion UAE interventional treatment can reduce PPH and promote the rescue success rate.
