The effect of uterine artery embolization in the treatment of obstetric hemorrhage
探讨子宫动脉栓塞术治疗产科大出血的效果

摘要

目的 探究子宫动脉栓塞术在产科大出血中治疗中的临床效果。方法 将40例产科大出血患者作为本次实验中的研究对象，均为突发大出血，在入组后，采用数字法分配为使用不同治疗方法的对照组和观察组，其中8例使用子宫切除术，其余则使用子宫动脉栓塞术，对比两种不同手术方法的手术指标及不良反应发生情况。结果 使用子宫动脉栓塞术治疗的观察组，手术时间（46.42±7.69）min，术中出血量（2425.36±70.48）mL，住院时间（7.36±2.15）d；反观使用常规子宫切除术治疗的对照组，以上观察指标分别为（87.68±11.42）min、（4253.34±150.42）mL、（12.92±2.74）d，对比来看观察组手术指标明显更优于对照组，（P＜0.05）。同时，观察组不良反应发生率也更低于对照组，（P＜0.05）。结论 对产科大出血患者使用子宫动脉栓塞术治疗效果更佳，对促进患者康复，保障其安全性有积极作用。

Abstract

Objective: To explore the clinical effect of uterine artery embolization in the treatment of obstetric massive hemorrhage. Method: 40patients with obstetric hemorrhage were selected as the research objects in this experiment. They were all sudden hemorrhages. they were assigned to the control group and the observation group with different treatment methods by number method, with 8patients uses conventional hysterectomy and the other uses uterine artery embolization. The surgical indicators and adverse reactions of the two different surgical methods are compared.
Results: In the observation group treated with uterine artery embolization, the operation time was (46.42±7.69) min, the intraoperative blood loss was (2425.36±70.48) mL, and the hospital stay was (7.36±2.15) d; in contrast, the control group treated with conventional hysterectomy In the group, the above observation indexes were (87.68±11.42) min, (4253.34±150.42) mL, and (12.92±2.74) d. In comparison, the operation indexes of the observation group were significantly better than those of the control group (P<0.05). At the same time, the incidence of adverse reactions in the observation group was also lower than that in the control group (P<0.05).
Conclusion  : Uterine artery embolization is better for patients with obstetric hemorrhage, and has a positive effect on promoting the recovery of patients and ensuring their safety.