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目的探讨妇产科大出血患者行子宫动脉栓塞治疗的临床疗效,为提高此类患者治疗效果提供可靠依据,保障其生活质量及生命安全。方法 48例妇产科大出血患者均采用双侧子宫动脉栓塞术治疗,记录其临床疗效及并发症发生情况。结果 48例妇产科大出血患者主要发病原因为产后大出血,所占比例高达43.75%,其他发病原因还包括恶性肿瘤、流产手术、子宫肌瘤等,对比结果差异具有统计学意义(P<0.05);患者经双侧子宫动脉栓塞术治疗后,体内β-HCG水平均恢复正常,治疗有效率高达100.00%,手术平均时间(68.34±5.31)min,住院时间(4.56±1.07)d。结论妇产科医护人员应详细询问患者病史,了解其实际情况,做好大出血并发症的抢救与治疗准备工作,严密观察患者病情,出现疑似大出血情况应及时确诊,并给予双侧子宫动脉栓塞术及其他对症治疗,保障其生活质量及生命安全,值得临床推广应用。
Objective To investigate the clinical efficacy of uterine arterial embolization in patients with gynecologic major bleeding and provide a reliable basis for improving the therapeutic effect of such patients to ensure their quality of life and life safety. Methods 48 cases of gynecological bleeding were treated with bilateral uterine artery embolization, the clinical efficacy and complications were recorded. Results The main causes of postpartum hemorrhage in 48 cases of gynecologic major bleeding were as high as 43.75%. Other causes included malignant tumor, abortion, uterine fibroids, etc. The difference was statistically significant (P0.05) ; After treatment with bilateral uterine artery embolization, the level of β-HCG in the patients returned to normal. The effective rate was 100.00%. The average operation time was 68.34 ± 5.31 min and the hospitalization time was 4.56 ± 1.07 d. Conclusion Obstetrics and gynecology staff should ask the patient’s medical history, understand the actual situation, do a good job in the rescue and treatment of bleeding complications, close observation of the patient’s condition, suspected hemorrhage should be promptly diagnosed and given bilateral uterine artery embolization And other symptomatic treatment, to ensure their quality of life and safety of life, it is worth clinical application.