摘要
目的探讨子宫切除在难治性产后出血患者中的应用价值,以供临床参考使用。方法将2009年1月~2011年8月收治的40例难治性产后出血的患者随机分为两组,对照组患者给予宫腔纱布填塞治疗,实验组患者给予子宫切除治疗,比较两组患者的治疗效果,并将结果进行统计学分析。结果对照组患者20例,其中有12例患者得到了救治,其余患者改行子宫切除手术。实验组患者20例,抢救均成功,实验组患者抢救成功率明显高于对照组患者,经统计学分析,P<0.05,差异有统计学意义。结论实施紧急子宫切除手术是在产后出血紧急处理中的较好办法,其能够在短时间内进行彻底止血,医生可根据患者的实际情况进行判断,在保守治疗无效后,可在全面评估后,实施子宫切除。
Objective To investigate hysterectomy in intractable postpartum hemorrhage in the application of value for clinical reference. Methods The hospital form January 2009 to August 2011 were treated 40cases of intractable postpartum hemorrhage were randomly divided into two groups, control group were treated with uterine gauze packing treatment, experimental treatment group were treated with hysterectomy, more two groups of patients the therapeutic effect, and the results were statistically analyzed. Results In control group of 20 patients, of which 12 patients received treatment, and the remaining patients diverted to hysterectomy. Experimental group, 20 patients were successfully rescued, the experimental group were significantly higher survival rate of patients, the statistical analysis, P〈0.05, significant difference. Conclusion The implementation of emergency hysterectomy in postpartum hemorrhage in a better way to handle an emergency, it can in a short time to complete hemostasis, the doctor can determine the actual situation of patients in the conservative treatment fails, may in the comprehensive assessment implementation of hysterectomy.
出处
《当代医学》
2012年第7期17-18,共2页
Contemporary Medicine
关键词
子宫切除
难治性产后出血
产后出血
抢救
Hysterectomy
Intractable postpartum hemorrhage
Postpartum hemorrhage
Rescue