Objective:To study the clinical efficacy of vascular interventional therapy in patients with postpartum hemorrhage caused by placenta implantation. Methods:90 patients of postpartum hemorrhage caused by placental implantation who received therapy from March 2015 to March 2017 in our hospital were selected as research objects, according to random number table,those patients were divided into the observation group (n=45) and the control group (n=45), the control group was treated with B-Lynch suture technique, while the observation group was treated with vascular interventional technique. The intraoperative bleeding, postoperative bleeding, hospitalization time, complications, postoperative lochia time, menstruation and estrogens of two groups were compared. Results:The intraoperative bleeding, postoperative bleeding in the observation group were significantly less than those of the control group[(189.32±24.39)ml vs(276.34±31.20)ml,(76.53±11.35)ml vs(99.78±13.47)ml], and the hospitalization time was significantly shorter than that of the control group[(9.45±1.87)d vs(13.94±2.30)d], the difference was statistically significant(all P<0.05). There was no significant difference in the incidence of intrauterine adhesions, uterine cavity infection, nausea and vomiting, and lower extremity numbness in the two groups(P>0.05). There was no significant difference in the lochia time and first period of menstruation(P>0.05), but the first menstrual recovery time in the observation group was significantly shorter than that of the control group[(112.71±14.20)d vs(128.34±16.32)d], the difference was statistically significant(P<0.05). In the two groups, the follicular stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2) were in the normal range for the first period of menstrual period, and there was no significant difference between the two groups(P>0.05).Conclusion:The hemostatic effect of vascular interventional technique is satisfactory in patients with postpartum hemorrhage caused by placental implantation, which can shorten the time of hospitalization and menstrual recovery, and do not affect the ovarian function recovery, and the clinical value is high. |
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