子宫动脉栓塞术治疗产科出血59例临床分析

目的探讨子宫动脉栓塞术在产科出血中的疗效和安全性。方法选取产科出血患者59例为研究对象,行子宫动脉栓塞术治疗。观察患者出血停止时间,记录手术成功率;比较记录患者术前术后血压、心率及血红蛋白水平及并发症的发生率。结果 59例患者均手术成功。栓塞成功后患者阴道出血明显减少或出血停止,栓塞后1周内出血全部停止。治疗后血压、心率及血红蛋白含量均明显改善,与治疗前比较,差异有统计学意义（P〈0.05）。术后主要并发症为轻度臀部疼痛（2例,3.39%）,大腿部疼痛（2例,3.39%）,术后72 h内缓解;轻度发热（3例,5.08%）,24 h内恢复正常;未见其他严重并发症。结论子宫动脉栓塞术对产科出血的疗效较好,安全可靠,值得临床推广应用。

Clinical Analysis of Uterine Artery Embolization in the Treatment of 59 Cases with Obstetric Hemorrhage

Objective To investigate the effect and safety of uterine artery embolization for the treatment of obstetric hemorrhage. Methods 59 cases with obstetric hemorrhage were selected as the subjects, and treated by uterine artery embolization. The stop bleeding time was observed in the two groups, and the operation success rates of both groups were recorded. The preoperative and postoperative blood pressure, heart rate, hemoglobin level and the incidence of complications of the two groups were recorded and compared. Results All the 59 patients underwent the operation successfully. After successful embolization, the vaginal bleeding of the patients was obviously reduced or stopped. After 1 week of embolization, the vaginal bleeding was stopped completely. After treatment, the blood pressure, heart rate and hemoglobin content were improved significantly, compared with those before treat- ment, the difference was statistically significant（P〈0.05）. The postoperative complications mainly were mild hip pain （2 cases, 3.39%）, thigh pain （2 cases, 3.39%）, all were relieved within 72h after operation; mild fever （3 cases, 5.08%）, all returned to nor- mal within 24h. No other serious complications were found. Conclusion Uterine artery embolization for the treatment of obstetric hemorrhage is effective, safe and reliable, which is worthy of clinical application.