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难治性产后出血的干预性治疗的临床对照研究

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目的:探讨分析难治性产后出血的干预性治疗的临床应用对照研究。方法:选择本院2009年5月-2014年2月收治的72例难治性产后出血患者,将其平分为三组,每组24例,分别采用盆腔动脉结扎手术、子宫腔填塞纱布和导管动脉栓塞手术进行治疗;观察使用干预性治疗后的临床疗效。结果:选取的72例患者均治疗成功;盆腔动脉结扎患者的有效率为41.67%,子宫腔填塞纱布患者的有效率为66.67%,导管动脉栓塞患者的效率为95.83%;首次治疗无效采用剖腹进行子宫切除后治愈的有效率为78.26%,首次治疗无效进行二次盆腔塞纱后治愈的有效率为21.74%;说明三种手术方法临床治疗效果都十分显著。结论:多种干预性治疗难治性产后出血病人症状的首选有效治疗手段是宫腔填塞纱布压迫止血手术治疗方法,盆腔动脉接扎手术和经导管动脉栓塞手术也可以压迫止血有效治愈产后出血;当子宫出现凝性障碍时必须进行全子宫的切除。
to study the analysis of the interventional treatment of intractable postpartum hemorrhage clinical control study.Methods:our hospital in May 2012 - February 2014 treated 72 cases of patients with intractable postpartum hemorrhage, it was divided into three groups, each group of 24 cases of pelvic artery ligation, uterine cavity filing were used respectively to the gauze and catheter arterial embolism surgery treatment; Observe the clinical effects of using after interventional treatment.Results:72 patients were treated successfuly selected; Patients with pelvic artery ligation of effective rate was 41.67%, effective rate was 66.67% in patients with uterine cavity filing gauze, catheter arterial embolization in patients with efficiency of 95.83%; For the first time after being treated with abdominal hysterectomy cure effective rate was 78.26%, the first secondary treatment is invalid after pelvic plug yarn cure effective rate was 21.74%; Show three methods of surgical treatment effect is very significant.Conclusion: a variety of interventional treatment of intractable postpartum hemorrhage patients symptoms of choice for effective treatment of uterine cavity filing gauze oppression hemostasis is surgical treatment, pelvic artery after operation and transcatheter arterial embolization operation can also be oppression hemostasis effectively cure postpartum hemorrhage; When there is coagulation disorder uterus must carry out the whole uterus resection.

refractoryPostpartum hemorrhageInterventional treatment

刘妍

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四川省中江县妇幼保健院

难治性 产后出血 干预性治疗

2014

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2014.(7)
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