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目的探究晚期妊娠胎盘植入患者通过双侧子宫动脉栓塞术治疗后取得的临床成效。方法选取我院收治的晚期妊娠胎盘植入患者80例,且均在2014年1月~2016年6月入院,依随机分组标准分为观察组(40人)和对照组(40人)。对照组和观察组患者治疗方法分别为子宫切除治疗和双侧子宫动脉栓塞术治疗。从平均手术时间、术中出血量,不良反应发生情况及生存质量状况四方面入手,针对相关内容进行分析。结果在平均手术时间、术中出血量方面,观察组均明显低于对照组(P<0.05);针对不良反应发生情况,观察组发生率(5%)显著低于对照组(25%),两组之间存在明显差异(P<0.05);在生存质量方面,观察组患者各项指标得分均比对照组高(P<0.05)。结论晚期妊娠胎盘植入患者通过双侧子宫动脉栓塞术治疗后取得的临床成效显著,在缩短手术时间、降低术中出血量的同时,使不良反应发生率明显降低,且患者生存质量显著改善,具有一定推广价值。
Objective To investigate the clinical outcomes of patients with placenta accreta in late pregnancy treated by bilateral uterine artery embolization. Methods Eighty patients with placenta accreta in late pregnancy were selected and admitted to our hospital from January 2014 to June 2016. The patients were divided into observation group (40 persons) and control group (40 persons) according to randomization criteria. The control group and observation group patients were treated by hysterectomy and bilateral uterine artery embolization. From the average operation time, blood loss, the occurrence of adverse reactions and quality of life conditions of four aspects, for the analysis of the relevant content. Results In terms of average operation time and intraoperative blood loss, the observation group was significantly lower than the control group (P <0.05). For the incidence of adverse reactions, the incidence of the observation group (5%) was significantly lower than that of the control group (25% There was a significant difference between the two groups (P <0.05). In terms of quality of life, the score of each index in the observation group was higher than that in the control group (P <0.05). Conclusions The clinical outcomes of patients with placenta accreta in late pregnancy after bilateral uterine artery embolization are significant. While shortening the operation time and reducing intraoperative blood loss, the incidence of adverse reactions was significantly reduced, and the quality of life of patients was significantly improved, Has a certain promotional value.