子宫动脉栓塞介入治疗难治性产后出血效果研究  

Effects of intervention of uterine artery embolization on the treatment of intractable postpartum hemorrhage

作　　者：孙素梅[1] 李守忠[1] 薛同庆[1] 

机构地区：[1]江苏省淮安市淮阴医院妇产科,江苏淮安223300

出　　处：《中国妇幼健康研究》2016年第4期485-487,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探究子宫动脉栓塞(UAE)介入治疗难治性产后出血(PPH)的效果及对产后月经的影响。方法回顾性分析淮安市淮阴医院妇产科自2013年5月至2015年5月收治的40例经子宫动脉栓塞介入治疗成功的难治性产后出血患者的临床资料,将其作为观察组,另选取同时期收治的40例分娩正常的产妇作为对照组,对比两组患者的产后出血量、止血时间、手术总时长、产后月经情况、激素水平及卵巢动脉的阻力指数及搏动指数。结果观察组患者产后出血量、止血时间、手术总时长均显著低于对照组患者(t值分别为4.38、4.40、4.53,均P<0.05),对照组与观察组第1次月经恢复时间、第1次月经量、月经周期、月经天数比较均无显著性差异(t值分别为1.45、1.66、1.20、1.55,均P>0.05)。对照组与观察组FSH、LH、E2、RI、PI水平比较均无显著性差异(t值分别为1.52、1.62、1.53、1.31、1.29,均P>0.05)。对照组与观察组在生活质量,如:躯体功能、角色功能、情绪功能、认知功能、社会功能及总体健康状况方面的评分均无显著性差异(t值分别为1.45、1.52、1.78、1.64、1.56、1.62,均P>0.05)。结论采用子宫动脉栓塞介入治疗难治性产后出血可取得显著的临床效果,明显降低患者产后出血量,缩短止血时间和住院时间,且不影响患者产后月经及激素水平,值得推广与应用。Objective To explore the effects of the intervention of uterine artery embolization （UAE） on the treatment of intractable postpartum hemorrhage （PPH） and the impact of UAE on postpartum menstruation. Methods Retrospective analysis of the clinical materials of 40 cases of PPH patients was carried out. All those patients were successfully treated at the department of gynecology and obstetrics in Huaiyin Hospital of Huai＇ an City from May 2013 to May 2015 by the intervention of UAE. They were selected as observation group. In addition, another 40 cases of normal puerperae who delivered their babies naturally during the same period were chosen as control group. Comparisons of the amount of PPH, haemostatic time, duration of surgery, patients＇ conditions of postpartum menstruation, hormone levels, and resistance index （RI） and pulsation index （PI） of ovarian artery were carried out between patients in both groups. Results As for patients in the observation group, their amount of PPH, haemostatic time, duration of surgery were significantly less than those of the control group （ t value was 4.38, 4.40 and 4.53, respectively, all P 〈 0.05 ）. No significant difference was identified between patients in two groups in the time of first menstruation recovery, menstrual blood volume, menstrual cycle, and menstrual period （t value was 1.45, 1.66, 1.20 and 1.55, respectively, all P 〉 0.05 ）. There was no obvious difference between two groups in terms of follicle stimulating hormone （FSH） , luteinizing hormone （LH） , estradiol （E2 ） , RI, and PI levels （t value was 1.52, 1.62, 1.53, 1.31 and t. 29, respectively, all P 〉 0.05 ）. In addition, no remarkable difference was detected between patients in two groups in the quality of life, such as their physical function, role function, emotional function, cognitive function, social function, and overall score of health conditions （t value was 1.45, 1.52, 1.78, 1.64, 1.56 and 1.62, respectively, all P 〉 0.05）. Conclusion Remarkabl

关 键 词：子宫动脉栓塞介入 难治性产后出血 月经 激素 生活质量 

分 类 号：R714.2[医药卫生—妇产科学]