经导管动脉栓塞术治疗妇产科急症出血的效果观察.docVIP

经导管动脉栓塞术治疗妇产科急症出血的效果观察 　　[摘要] 目的 探讨经导管动脉栓塞术治疗妇产科急症出血的临床效果。 方法 将我院2012年1月～2014年10月接诊的妇产科急症出血患者91例作为研究对象， 分为手术组与保守组，其中保守组41例采取保守治疗（无效者予以子宫切除或结扎处理），而手术组50例采取经导管动脉栓塞术治疗。观察记录两组患者止血时间、止血有效率、子宫切除率及不良反应发生率。 结果 手术组止血时间为（1.43±0.65）h，而保守组止血时间为（7.48±1.62）h，手术组止血时间更短（P0.01）；手术组止血率与子宫切除率依次为92.00%、8.00%，保守组则分别为51.22%、48.78%，手术组止血率与子宫切除率明显更优（P0.01）。 结论 妇产科急症出血较常见，采取保守治疗效果不佳，予以经导管动脉栓塞术治疗效果明显，止血率与安全性高，可更好地保留子宫，值得借鉴。 　　[关键词] 妇产科；急症出血；保守治疗；经导管动脉栓塞术 　　[中图分类号] R71 [文献标识码] B [文章编号] 1673-9701（2015）12-0031-03 　　The clinical effect of transcather arterial embolization in treatment of acute obstetrics hemorrhage 　　XU Dongbo YU Shengguang 　　Department of Obstetrics and Gynecology，Weihai City Wendeng Central Hospital，Weihai 264400， China 　　[Abstract] Objective To investigate the clinical effect of Transcather arterial embolization in treatment of acute obstetrics hemorrhage. Methods From January 2012 to October 2014 in our hospital，selected 91 patients with acute obstetrics hemorrhage as the research object，were divided into operation group and the conservative group，the conservative group 41 cases were treated with conservative treatment （invalid to uterine resection or ligation treatment），the operation group 50 cases were treated with the catheter arterial embolization. The hemostatic time， hemostatic efficiency， uterine resection rate and the incidence of adverse reactions were compared between two groups. Results The time of hemostasis operation group was （1.43±0.65）h， and the conservative group’s bleeding time was （7.48±1.62）h （P0.01）； operation bleeding control rate and hysterectomy rates of operation group were 92.00%， 8.00%， was higher than optimal operation group （51.22%， 48.78%）（P0.01）. Conclusion Acute obstetrics hemorrhage more common， conservative treatment ineffective， to transcatheter arterial embolization treatment has exact effect， the hemostatic rate and high safety， can be better to retain the uterus， is worth learning from. 　　[Key words] Department of Obstetrics