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目的分析应用导管动脉栓塞术对难治性妇产科大出血进行治疗的效果及其价值。方法选择我院曾收治的难治性产后大出血患者20例与妇科癌性出血患者30例,将其各自随机分为数量相等的两组。对照组患者利用常规方法进行治疗,观察组患者利用导管动脉栓塞术进行治疗。完成治疗后,观察患者的止血时间、出血时间以及出血量等有关指标。结果两组难治性产后大出血患者在止血效率、止血时间以及出血量等比较,差异有统计学意义(P<0.05);两组妇科癌性出血患者进行比较,观察组在出血时间以及月经量等比较,差异有统计学意义(P<0.05)。结论应用导管动脉栓塞术治疗难治性妇产科大出血效果明显,能够迅速止血,使止血时间缩短,并且能够预防再出血。
Objective To analyze the effect and value of catheter-assisted arterial embolization in the treatment of refractory obstetric and gynecologic hemorrhage. Methods Twenty patients with refractory postpartum hemorrhage and 30 patients with gynecologic cancerous hemorrhage who had been admitted to our hospital were randomly divided into two equal groups. Patients in the control group were treated by conventional methods and patients in the observation group were treated by catheter arterial embolization. After completion of treatment, observe the patient’s bleeding time, bleeding time and bleeding and other related indicators. Results There were significant differences in hemostatic efficiency, bleeding time and bleeding among two groups of patients with intractable postpartum hemorrhage (P <0.05). The patients in the two groups were compared on bleeding time and menstrual flow The difference was statistically significant (P <0.05). Conclusion The application of catheter arterial embolization in the treatment of intractable obstetric and gynecologic hemorrhage has obvious effect, can quickly stop bleeding, shorten the time to stop bleeding, and can prevent rebleeding.