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目的探讨动脉栓塞术治疗妇产科120例急性大出血患者的临床疗效。方法选取2013年3月至2014年12月监利县第二人民医院妇产科收治的急性大出血患者120例为研究对象。患者均经保守治疗无效而采取介入性动脉栓塞术治疗,在治疗过程中观察患者的动脉造影及栓塞情况,并记录患者术前出血量、手术时间以及并发症情况。结果 120例患者在实施介入性动脉栓塞术后,阴道出血在30 min内均得到了有效控制。60 d内118例患者月经恢复正常,2例失败,成功率为98.3%。结论在治疗妇产科患者急性大出血,采用动脉栓塞术不仅可以迅速止血,又可保留患者的子宫和生育功能,并发症少。
Objective To investigate the clinical efficacy of transcatheter arterial embolization in the treatment of 120 patients with acute hemorrhage in obstetrics and gynecology. Methods From March 2013 to December 2014, Jianli County Second People’s Hospital Obstetrics and Gynecology admitted 120 patients with acute massive bleeding as the research object. All patients were treated by interventional arterial embolization after conservative treatment. The arterial angiography and embolism of the patients were observed in the course of treatment. The patients’ preoperative blood loss, operation time and complications were recorded. Results 120 cases of patients after interventional arterial embolization, vaginal bleeding within 30 min have been effectively controlled. In 60 days, 118 patients returned to normal menstruation, 2 failed and the success rate was 98.3%. Conclusions In the treatment of acute hemorrhage in obstetrics and gynecology patients, arterial embolization can not only quickly stop the bleeding, but also keep the patient’s uterus and reproductive function with fewer complications.