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目的:对比研究难治性产后出血干预性治疗方法。方法:随机抽取我院在2011年12月到2012年12月期间收治的69例难治性产后出血患者的临床资料进行回顾性分析,根据治疗方法的不同将本组患者分为A组、B组、C组,其中,A组采用宫腔纱布填塞治疗、B组采用盆腔动脉结扎治疗、C组采用经导管进行动脉栓塞治疗,对不同治疗方法患者的治疗效果进行评价。结果:本组的69例患者均已经全部抢救成功,其中,例行动脉栓塞患者治疗成功率达100%,均全部治疗有效;应用导管动脉栓塞术与宫腔填塞纱布治疗、盆腔动脉结扎治疗相比,差异显著,具有统计学意义,P<0.05。结论:对难治性产后出血患者,给予及时以及必要的对症治疗,必要时进行全子宫切除。
Objective: To comparatively study the interventional treatment of refractory postpartum hemorrhage. Methods: The clinical data of 69 patients with refractory postpartum hemorrhage admitted in our hospital from December 2011 to December 2012 were retrospectively analyzed. According to the different treatment methods, the patients were divided into group A, B Group C and Group C, in which group A was treated with uterine gauze packing, group B was treated with pelvic artery ligation, group C was treated with catheterization and arterial embolization, and the therapeutic effects of different treatment methods were evaluated. Results: All the 69 patients in this group were successfully rescued. Among them, the success rate of treatment for patients with routine arterial embolization was 100%, all of which were effective. The application of catheter arterial embolization and intrauterine packing gauze treatment, pelvic artery ligation treatment phase The difference was significant, with statistical significance, P <0.05. Conclusion: Patients with refractory postpartum hemorrhage should be treated with timely and necessary symptomatic treatment and hysterectomy if necessary.