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目的观察介入栓塞术对盆腔不同原因出血的治疗效果。方法选取河南科技大学第一附属医院2013年6月—2015年6月收治的64例盆腔出血患者,根据出血不同原因分为外伤组18例,肿瘤病变组26例,孕产术组20例,所有患者均采用介入栓塞术治疗,并术后随访1年,观察并比较三组采用介入栓塞术治疗的手术基本指标和效果。采用SPSS19.0统计软件进行统计分析,计量资料用均数±标准差(xˉ±s)表示,采用t检验,计数资料用率(%)表示,采用χ2检验,P<0.05为差异有统计学意义。结果三组采用介入栓塞术治疗均取得较好的治疗效果,且未出现明显不良反应症状,外伤组、肿瘤病变组、孕产术组止血有效率分别为83.33%、76.92%、80.00%,差异无统计学意义(P>0.05);但肿瘤病变组手术时间(96.26±13.42)min、止血时间(13.25±4.16)min较外伤组(76.32±12.71)min、(8.76±3.24)min和孕产术组(81.54±12.24)min、(9.22±3.45)min明显较长,差异均有统计学意义(P<0.05)。结论从短期来看介入栓塞术在不同原因导致的盆腔出血治疗中均较为有效,具有较好的止血效果;肿瘤病变导致的盆腔出血行介入栓塞术治疗时手术和止血时间相对较慢,其远期疗效仍需进一步深入研究。
Objective To observe the effect of interventional embolization on pelvic bleeding of different causes. Methods Sixty-four patients with pelvic hemorrhage admitted to the First Affiliated Hospital of Henan University of Science and Technology from June 2013 to June 2015 were divided into 18 groups according to different causes of bleeding, including 26 patients with tumor lesion group, 20 patients with tumor metastasis group, All patients were treated with interventional embolization and were followed up for 1 year. The basic indexes and effects of three groups of interventional embolization were observed and compared. Using SPSS19.0 statistical software for statistical analysis, measurement data with mean ± standard deviation (x ˉ ± s), using t test, the count data (%) that the use of χ2 test, P <0.05 was statistically significant significance. Results The interventional embolization in all three groups achieved good therapeutic effect without significant adverse reactions. The effective rates of hemostasis were 83.33%, 76.92% and 80.00% in traumatic group, neoplastic group and maternity group respectively (96.26 ± 13.42) min, the time of hemostasis (13.25 ± 4.16) min was significantly higher than that of the traumatic group (76.32 ± 12.71) min, (8.76 ± 3.24) min and the pregnant control group (P> 0.05) The operative time (81.54 ± 12.24) min and (9.22 ± 3.45) min were significantly longer in the operation group (P <0.05). Conclusion In the short term, interventional embolization is more effective in the treatment of pelvic hemorrhage caused by different causes, and has a better hemostatic effect. The pelvic hemorrhage caused by tumor lesions is relatively slow when healed by interventional embolization The efficacy still needs further study.