Abstract
sThis study is to investigate the clinical effect of uterine artery embolism in the treatment of refractory postpartum hemorrhage. Retrospective analysis of 50 patients with refractory postpartum hemorrhage admitted to PLA Group 83 Military Hospital from July 2014 to July 2018, using uterine artery embolization (observation group) and hysterectomy (control group), compared the effective rate of hemostasis, total bleeding volume, operation time and postoperative complications (fever, pain, infection) between the two groups. The effective rate of hemostasis was 96% in the observation group and 92% in the control group. There was no significant difference between the two groups (P > 0.05). The total blood loss was 2237.34 ±548.33 ml and 39.02 ±12.14 min in the observation group and 3427.55 ±667.42 ml in the control group, and 74.21 ±16.16 min in the control group. There was significant difference between the two groups (P < 0.05).The postoperative complications of the observation group were lower than that of the control group (P <0.05). The two methods are effective in the treatment of refractory postpartum hemorrhage, but uterine artery embolism has the advantages of less bleeding, short operation time and rapid recovery after operation, which is worthy of clinical application.
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