摘要
目的比较分析三种干预性方式治疗难治性产后出血的临床效果。方法 2000年2月至2013年2月我院产科收治的93例难治性产后出血产妇,随机均分为三组,A组采用子宫动脉栓塞术,B组采用宫腔纱布填塞术,C组采用盆腔动脉结扎术,观察三组产妇产后出血量、止血时间和手术时间,比较三种干预性治疗方式的效果。结果全部产妇均抢救成功,A组产妇产后出血量、止血时间和手术时间与B组和C组比较,P<0.05,B组与C组比较,P<0.05,比较差异有显著统计学意义;A组治疗有效率100.00%,显著优于B组的74.19%和C组38.71%,B组的有效率显著优于C组的有效率,P<0.01。结论难治性产后出血产妇必须进行及时与有效的对症治疗,临床首选子宫动脉栓塞术,其次选择子宫腔填塞纱布术。
Objective To compare the clinical results of three interventional treatments of intractable postpamun hemorrhage. Methods 93 cases of intractable postpartum hemorrhage were randomly divided into three groups： group A was treated with uterine artery embolization, group B was treated with gauze packing in uterine cavity, group C was treated with pelvic artery ligation. The clinical effects were compared. Results All puerpera got rescued. The volume of postpartum hemorrhage, ceasing bleeding time and operation time in group A was statistically significant （P 〈0.05） compared with group B and group C, and group B was statistically significant （P 〈0.05） compared with group C; the efficiency of group A was 100.00%, significantly better than 74.19% in group B and 38.71% in group C, the efficiency of group B was significantly better than group C （P 〈0.01）. Conclusions Timely and effective symptomatic treatments are necessary for puerpera with intractable postpartum hemorrhage. In the interventional treatment of intractable postpartum hemorrhage, uterine artery embolization is the preferred choice, followed by gauze packing in uterine cavity.
出处
《临床医学工程》
2013年第10期1271-1272,共2页
Clinical Medicine & Engineering
关键词
难治性产后出血
干预性治疗
疗效
Intractable postpartum hemorrhage
Interventional therapy
Efficacy
