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目的 :探讨盆腔动脉栓塞治疗难治性产后出血的临床效果。方法 :将我院收治的208例难治性产后出血患者随机分为观察组和对照组,观察组采用盆腔动脉栓塞治疗,对照组采用盆腔血管结扎治疗,术后比较两组患者的临床疗效。结果 :观察组的术中出血量、总出血量明显少于对照组,手术时间明显短于对照组,总止血成功率显著高于对照组。结论 :盆腔动脉栓塞治疗与盆腔血管结扎治疗相比,患者出血量更少、止血成功率更高,可作为治疗难治性产后出血的优先考虑方案。
Objective: To investigate the clinical effect of pelvic artery embolization in refractory postpartum hemorrhage. Methods: 208 patients with refractory postpartum hemorrhage treated in our hospital were randomly divided into observation group and control group. The observation group was treated with pelvic artery embolization. The control group was treated with pelvic vascular ligation. The clinical curative effect was compared between the two groups after operation. Results: The intraoperative blood loss and total bleeding in the observation group were significantly less than those in the control group. The operation time was significantly shorter than that in the control group. The success rate of total bleeding was significantly higher in the observation group than in the control group. Conclusion: Compared with pelvic vascular ligation, pelvic arterial embolization is less bleeding and has a higher success rate of hemostasis, which can be used as a priority for the treatment of refractory postpartum hemorrhage.