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目的:分析难治性妇产科大出血的临床治疗的体会。方法:选取我院2014年1月至2014年7月收治的64例难治性妇产科大出血作为研究对象,将全部患者平均分成两组,即研究组和对照组,研究组患者使用子宫导管动脉栓塞术实行治疗,对照组患者使用子宫动脉结扎术实行治疗,并对两组患者所需手术的时间和手术中的出血量还有术后阴道流血的天数等具体情况和临床治疗效果进行对比。结果:研究组患者实行手术所需时间,手术中的出血量和术后阴道流血的天数明显少于对照组患者,研究组患者临床治疗总有效率为93.8%明显优于对照组71.9%,且差异具有统计学意义,(P<0.05)。结论:使用子宫导管动脉栓塞术对难治性大出血患者进行治疗,具有明显疗效,能在最短时间内帮助患者止血,减少血量和时间,从而有效防治患者再次出血的情况发生,保存患者的子宫,缩短患者住院的时间,值得推广和应用。
Objective: To analyze the clinical treatment of refractory obstetrics and gynecology bleeding. Methods: Sixty-four patients with refractory obstetric and gynecologic bleeding were selected from January 2014 to July 2014 in our hospital. All patients were equally divided into two groups: study group and control group. The study group was treated with uterine catheter Arterial embolization treatment, the control group of patients with uterine artery ligation to implement the treatment, and the two groups of patients required for surgery time and amount of bleeding surgery and postoperative vaginal bleeding days and other specific circumstances and clinical treatment were compared . Results: The time required for operation, the amount of bleeding during operation and the number of postoperative vaginal bleeding in study group were significantly less than those in control group. The total effective rate of study group was 93.8%, significantly higher than 71.9% of control group The difference was statistically significant (P <0.05). Conclusion: Uterine catheterization of arterial embolization in the treatment of patients with refractory bleeding, with significant effect, in the shortest possible time to help patients stop bleeding, reduce blood volume and time, so as to effectively prevent the occurrence of rebleeding in patients with the patient’s uterus , Shorten the time of patient hospitalization, it is worth to promote and apply.