盆腔动脉栓塞术治疗原发性产后出血的效果及安全性分析

发布时间：2018-03-28 22:08

本文选题：盆腔动脉血栓术　切入点：原发性产后出血　出处：《中国妇幼保健》2016年24期

【摘要】：目的分析盆腔动脉栓塞术治疗原发性产后出血的效果及安全性。方法选取46例原发性产后出血患者,采用双色球分组法分为对照组和观察组,每组各23例。对照组患者采用盆腔血管结扎术进行治疗,观察组患者采用盆腔动脉栓塞术进行治疗。比较两组患者在不同治疗方式下的术中出血量、手术时间以及起效时间;并对两组患者的治疗效果、术后并发症的发生情况进行比较。结果观察组患者术中出血量(224.78±42.61)ml、手术时间(77.31±14.57)min、起效时间(8.29±3.20)min,显著优于对照组相应指标,差异有统计学意义(P0.05),观察组患者的治疗有效率91.30%,显著高于对照组的73.91%,差异有统计学意义(P0.05)。观察组患者术后并发症发生率13.04%,明显低于对照组的31.13%,差异有统计学意义(P0.05)。结论盆腔动脉栓塞术治疗原发性产后出血具有良好的疗效,术中出血量少、手术时间短、见效快、术后并发症少,值得推广应用。
[Abstract]:Objective to analyze the efficacy and safety of pelvic arterial embolization in the treatment of primary postpartum hemorrhage. Methods 46 patients with primary postpartum hemorrhage were divided into two groups: control group and observation group. There were 23 cases in each group. The patients in the control group were treated by pelvic vascular ligation, and the patients in the observation group were treated by pelvic artery embolization. Results the intraoperative bleeding volume (224.78 卤42.61ml), operative time (77.31 卤14.57 min) and effective time (8.29 卤3.20 min) in the observation group were significantly better than those in the control group. The effective rate of treatment in the observation group was 91.30, which was significantly higher than that in the control group (73.91%), and the difference was statistically significant (P 0.05). The incidence of postoperative complications in the observation group was 13.04, which was significantly lower than that in the control group (31.13g). Conclusion pelvic artery embolization is effective in the treatment of primary postpartum hemorrhage. Less intraoperative bleeding, shorter operative time, faster effect and less postoperative complications are worth popularizing.
【作者单位】：青岛市妇女儿童医院产科;
【分类号】：R714.461

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