摘要
摘要目的探讨经超选择子宫动脉栓塞术治疗难治性产后出血的临床疗效.方法选取我院在２０１０年１月至２０１５年１月间收治的５０例难治性产后出血患者的临床资料并进行分组,观察组有２６例(子宫动脉栓塞术治疗),对照组有２４例(经宫腔纱布填塞治疗),比较两组患者的术中出血量、总出血量、止血成功率、并发症发生情况.结果①观察组的术中出血量、总出血量均小于对照组,对比有统计学意义(P＜０．０５).②观察组止血成功率为９６．１５％,对照组止血成功率为６２．５０％,观察组高于对照组,对比有统计学意义(P＜０．０５).③观察组的头痛、发热与感染发生率均低于对照组,对比有统计学意义(P＜０．０５).结论超选择子宫动脉栓塞术在难治性产后出血治疗中的应用价值较高,值得临床推广应用.关键词难治性产后出血;子宫动脉栓塞术;治疗效果ClinicaleffectobservationofsuperselectiveuterinearterialembolizationinthetreatmentofintractablepostpartumhemorrhageAbstractobjectiveToinvestigatetheclinicaleffectofsuperselectiveuterinearterialembolizationinthetreatmentofintractablepostpartumhemorrhage．MethodsTheclinicaldataof５０patientswithintractablepostpartumhemorrhagewereselectedfromJanuary２０１５toJanuary２０１０,andtheobservationgroup(２６cases)weretreatedwiththetreatmentofuterinearteryembolization(２４cases),twocasesweretreatedwithuterinegauzepacking．Resultsintheobservationgroup,theamountofbloodlossandtotalbloodlosswaslessthanthatofthecontrolgroup,andthecomparisonwasstatisticallysignificant(P＜０．０５)．TheinciＧdenceofheadache,feverandinfectionintheobservationgroupwaslowerthanthatincontrolgroup(P＜０．０５)．ConclusiontheapplicationofsuperselectiveuterＧinearterialembolizationinthetreatmentofintractablepostpartumhemorrhageisofhighvalue,worthyofclinicalpopularizationandapplication．中图分类号R７１４．４文献标识码B文章编号１００８－６３１５(２０１５)１２－０８６７－０１
出版日期
2015年12月22日（中国期刊网平台首次上网日期，不代表论文的发表时间）
