CAJ | 학술논문

目的：探讨难治性妇产科大出血临床治疗方法。方法：2011-2012年收治难治性妇科大出血患者100例，随机分成观察组和对照组，每组50例，观察组给予动脉栓塞术，对照组给予子宫动脉结扎术。比较两组出血量、手术时间、术后并发症、住院时间等。结果：观察组手术平均时间(41.6±5.2)min，平均出血量(905.3±107.6)mL，术后流血天数(8.6±2.2)d，止血例数47例(94.0%)；对照组治疗平均时间(55.3±6.4)min，平均出血量(1137.4±263.1)mL，术后流血天数(13.6±3.7)d，止血例数35例(70.0%)，组间比较差异具有统计学意义(P＜0.05)。结论：对患者进行动脉栓塞术能有效达到止血效果，具有手术时间短、并发症少、住院时间短等优点，值得推广应用。
목적：탐토난치성부산과대출혈림상치료방법。방법：2011-2012년수치난치성부과대출혈환자100례，수궤분성관찰조화대조조，매조50례，관찰조급여동맥전새술，대조조급여자궁동맥결찰술。비교량조출혈량、수술시간、술후병발증、주원시간등。결과：관찰조수술평균시간(41.6±5.2)min，평균출혈량(905.3±107.6)mL，술후류혈천수(8.6±2.2)d，지혈례수47례(94.0%)；대조조치료평균시간(55.3±6.4)min，평균출혈량(1137.4±263.1)mL，술후류혈천수(13.6±3.7)d，지혈례수35례(70.0%)，조간비교차이구유통계학의의(P＜0.05)。결론：대환자진행동맥전새술능유효체도지혈효과，구유수술시간단、병발증소、주원시간단등우점，치득추엄응용。
Objective:To investigate the clinical treatment of refractory massive hemorrhage in obstetrics and gynecology. Methods:100 cases with refractory gynecological massive hemorrhage were selected from 2011 to 2012.They were randomLy divided into the observation group and the control group with 50 cases in each.The observation group were treated with arterial embolization.The control group were given the treatment of uterine artery ligation.We compared the operation time,bleeding volume,postoperative complications,hospital stay time of two groups.Results:The operation time of the observation group was (41.6 ± 5.2) minutes;the bleeding amount was (905.3 ± 107.6)mL;postoperative bleeding time was (8.6 ± 2.2) days;47 cases stopped bleeding(94%).The average treatment duration of the treatment group was(55.3 ± 6.4) minutes;average amount of bleeding was (1137.4 ± 263.1) mL;postoperative bleeding time was (13.6 ± 3.7) days;35 cases stopped bleeding(70%).The differences were statistically significant between the two groups(P<0.05).Conclusion:Arterial embolization can effectively reach the hemostatic effect.It has the advantages of short operation time,less complications,shorter hospitalization time etc,so it is worthy of popularization and application.