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目的对血管介入治疗对妇产科出血患者的临床应用价值进行分析。方法对我院2004年3月到2010年12月期间接受诊治的60例妇产科出血患者的临床资料进行回顾性分析,对照组30例行保守治疗,观察组30例采用Seldinger技术行双侧髂内动脉及子宫动脉栓塞术进行血管介入治疗,比较两组的临床疗效。结果观察组30例中,29例患者止血成功,1例因止血失败最终行子宫切除术,且无明显并发症;对照组30例采用保守治疗后均无效最终采取了全子宫或次全子宫切除术,观察组的手术时间明显短于治疗组,差异具有统计学意义(P<0.05)。结论对妇产科出血患者采用血管介入治疗有良好的治疗效果,具有手术时间短、并发症少的优点,值得临床应用推广。
Objective To analyze the clinical value of vascular interventional therapy in patients with obstetrics and gynecology bleeding. Methods The clinical data of 60 patients with obstetrics and gynecology bleeding from March 2004 to December 2010 in our hospital were retrospectively analyzed. The control group of 30 patients were treated conservatively. The observation group was treated with Seldinger technique on both sides Internal iliac artery and uterine artery embolization for vascular intervention, the clinical efficacy of the two groups were compared. Results In the observation group of 30 patients, 29 patients were successfully hemostatic, and 1 patient underwent final hysterectomy due to failure of hemostasis. There was no obvious complication in the control group. All 30 patients in the control group were ineffective after conservative treatment. The final uterus or subtotal hysterectomy Surgery, observation group operation time was significantly shorter than the treatment group, the difference was statistically significant (P <0.05). Conclusion The treatment of obstetrics and gynecology bleeding patients with vascular intervention has a good therapeutic effect, with short operative time, fewer complications, it is worth promoting the clinical application.