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目的:对选择性子宫动脉栓塞术治疗难治性产后出血(PPH)的疗效进行研究。方法:选取2014年1月至2016年12月于肇庆市第二人民医院进行分娩并出现难治性PPH的患者共80例,按照治疗方法分为两组,行子宫切除术患者28例,为对照组;行选择性子宫动脉栓塞术的患者52例,为观察组。对两组患者止血成功率、手术及住院指标、术后血压以及不良反应发生率进行比较。结果:两组患者的止血成功率比较,差异无统计学意义(P>0.05),观察组患者的总出血量、手术时间、术后下床时间、住院时间均显著小于对照组,差异具有统计学意义(P<0.05)。两组患者术后收缩压、舒张压、心率比较,差异无统计学意义(P>0.05)。两组患者的不良反应发生率比较,差异无统计学意义(P>0.05)。结论:选择性子宫动脉栓塞术可有效治疗难治性PPH,并且有利于患者恢复。
Objective: To study the curative effect of selective uterine arterial embolization in refractory postpartum hemorrhage (PPH). Methods: From January 2014 to December 2016, 80 patients with refractory PPH who were delivered and delivered refractory PPH in the Second People’s Hospital of Zhaoqing City were divided into two groups according to the treatment method. 28 patients underwent hysterectomy Control group; selective uterine artery embolization in patients with 52 cases, the observation group. The success rate of hemostasis, operation and hospitalization index, postoperative blood pressure and incidence of adverse reactions in two groups were compared. Results: There was no significant difference in the success rate of hemostasis between the two groups (P> 0.05). The total amount of bleeding, operation time, bed ambulation time and hospital stay in the observation group were significantly less than those in the control group Significance (P <0.05). There was no significant difference in systolic blood pressure, diastolic blood pressure and heart rate between the two groups (P> 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P> 0.05). Conclusion: Selective uterine arterial embolization can effectively treat refractory PPH and is beneficial for patients to recover.