| 摘要: |
| ［摘要］ 目的 探讨子宫动脉栓塞术与子宫切除术治疗产后出血的临床疗效及价值。方法 将非手术治疗无效的产后出血患者53例随机分为观察组（29例）和对照组（24例），观察组应用子宫动脉栓塞术治疗，对照组予以子宫切除术治疗。结果 观察组治愈率为86.2%，无效率为3.4%，对照组治愈率为91.7%，无效率为0.0%，两组疗效比较差异无统计学意义（P>0.05）；两组并发症发生率比较差异无统计学意义（P>0.05）；术后随访观察组生活质量优于对照组（P<0.05）。结论 子宫动脉栓塞术处理非手术治疗无效的产后出血疗效显著，快捷，创伤轻，副作用少，有较大的临床推广价值。 |
| 关键词: 产后出血 子宫动脉栓塞术 子宫切除术 |
| DOI：10.3969/j.issn.1674-3806.2012.05.22 |
| 分类号:R 711.74 |
| 基金项目: |
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| Comparison of therapeutic effects between uterine artery embolization and hysterectomy in the treatment of patients with postpartum hemorrhage |
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TANG Jia-hua
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Department of Obstetrics and Gynecology,Qinzhou Second People′s Hospital, Guangxi 535000,China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical efficacy and value of uterine artery embolization and hysterectomy for postpartum hemorrhage.Methods Fifty-three postpartum hemorrhage patients with the failed non-surgical treatment were randomly divided into two groups: observation group（29 patients）was treated with uterine artery embolization; control group （24 patients）was treated with hysterectomy.Results The cure rate of observation group was 86.2%, inefficiency rate was 3.4%;the cure rate of control group was 91.7%,inefficiency rate was 0.0%.There was no significant statistical difference between two groups(P>0.05). The incidence of complications between two groups were not statistically difference(P>0.05).The life quality of postoperative follow-up in observation group is better than that in the control group (P<0.05).Conclusion Uterine artery embolization in the treatment of postpartum hemorrhage patients with the failed non-surgical treatment has the advantages of significant therapeutic effect, faster effect, less trauma, less side effects, and greater clinical value. |
| Key words: Postpartum hemorrhage Uterine artery embolization Hysterectomy |
