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子宫动脉栓塞术治疗流产后出血的疗效分析

Clinical analysis of uterine artery embolization in the treatment of postabortal hemorrhage

  • 摘要: 目的: 探讨子宫动脉栓塞术治疗早期和中期妊娠流产后出血的临床疗效。方法: 选择2010年1月—2015年3月上海市普陀区中心医院收治的8例流产后出血并经子宫动脉栓塞术治疗的患者,其中早期、中期妊娠流产后出血各5例、3例,比较患者栓塞术前、后阴道出血量,并随访患者术后月经恢复情况。结果: 8例患者均成功实施子宫动脉栓塞术,栓塞术后阴道出血量明显少于栓塞术前,差异有统计学意义(P< 0.01);栓塞术后无严重不良反应及并发症发生,术后月经复潮时间平均为(32.63±2.67) d。结论: 子宫动脉栓塞术可及时有效地控制流产后出血,避免子宫切除,并能保留患者的生育功能。

     

    Abstract: Objective: To evaluate the clinical efficacy of uterine artery embolization in the treatment of postabortal hemorrhage. Methods: A total of 8 patients with postabortal hemorrhage treated by uterine artery embolization from Jan. 2010 to Mar. 2015 were enrolled, including 5 first-trimester postabortal hemorrhage, 3 second-trimester postabortal hemorrhage.Vaginal bleeding amount before and after embolization was compared, and their menstrual recovery situation was followed up. Results: All patients were successfully treated by uterine artery embolization.Vaginal bleeding amount after embolization was less than before embolization (P< 0.01).No severe complications occurred. The average time of menstrual recovery was (32.63±2.67) days. Conclusions: Uterine artery embolization is an effective method to treat postabortal hemorrhage.It can avoid hysterectomy and preserve the fertility of women.

     

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