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目的探讨介入治疗在产后大出血治疗中的预防作用及效果。方法研究组40例患者于终止妊娠时先行采取双侧子宫动脉栓塞手术,对照组40例患者于出现产后大出血后,行双侧子宫动脉栓塞手术。结果研究组患者产后大出血率明显低于对照组,数据经统计学比较差异有统计学意义(P﹤0.05)。研究组患者平均栓塞时间明显短于对照组,栓塞成功率明显高于对照组,数据经统计学比较差异有统计学意义(P﹤0.05)。两组患者双侧子宫动脉栓塞后并发症发生率差异无统计学意义(P﹥0.05)。结论双侧子宫动脉栓塞介入治疗产后大出血具有较好的预防出血效果,可将产后出血遏制在萌发状态下,从而降低危险性,提高患者的产后安全性。
Objective To explore the preventive effect and effect of interventional therapy in the treatment of postpartum hemorrhage. Methods Forty patients with bilateral uterine artery embolization were enrolled in the study group. Forty patients in the control group received bilateral uterine artery embolization after the onset of postpartum hemorrhage. Results The rate of postpartum hemorrhage in the study group was significantly lower than that in the control group. The difference was statistically significant (P <0.05). The mean embolization time of the study group was significantly shorter than that of the control group, and the success rate of embolization was significantly higher than that of the control group. The difference was statistically significant (P <0.05). There was no significant difference in the incidence of complications after bilateral uterine artery embolization between the two groups (P> 0.05). Conclusions Interventional treatment of postpartum hemorrhage with bilateral uterine artery embolization has a good effect of preventing bleeding, which can restrain the postpartum hemorrhage in germination, thus reducing the risk and improving the postpartum safety of patients.