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目的探析紧急子宫切除术在治疗难治性产后出血中的应用。方法 60例难治性产后出血患者,随机均分为观察组与对照组,各30例。观察组采取紧急子宫切除术治疗;对照组采取宫腔纱布填塞治疗,观察比较两组患者的治疗疗效。结果观察组均抢救成功;对照组抢救成功18例,其余12例患者均转为紧急子宫切除术再次治疗。观察组患者抢救成功率明显高于对照组,差异具有统计学意义(P<0.05)。结论出现难治性产后出血时,采取紧急子宫切除术是在短时间内保证彻底止血的有效方法 ,抢救成功率高。在保守治疗无果时,应实施此方法以保证患者的生命得以救治。
Objective To investigate the application of emergency hysterectomy in the treatment of refractory postpartum hemorrhage. Methods Sixty patients with refractory postpartum hemorrhage were randomly divided into observation group and control group with 30 cases in each group. The observation group was treated by emergency hysterectomy. The control group was treated with uterine gauze padding, and the curative effect was observed and compared between the two groups. Results The observation group were rescued successfully; the control group, 18 cases of successful rescue, the remaining 12 patients were converted to emergency hysterectomy re-treatment. The successful rate of rescue in the observation group was significantly higher than that in the control group, the difference was statistically significant (P <0.05). Conclusion In the presence of intractable postpartum hemorrhage, emergency hysterectomy is an effective method to ensure complete hemostasis in a short period of time, and the success rate of rescue is high. In the absence of conservative treatment, this method should be implemented to ensure that the patient’s life can be saved.