重度产后出血患者行血管性介入治疗后对其产后月经影响的研究  

Influence of interventional radiotherapy for severe postpartum hemorrhage on postpartum menorrhea

作　　者：王锦江[1] 陈春林[1] 刘萍[1] 马奔[1] 曾北蓝[1] 张玉洁[1] 陈淑贤[1] 何淑贞[1] 

机构地区：[1]广州市第一人民医院妇产科妇产医学介入诊疗中心,510180

出　　处：《中华妇产科杂志》2004年第2期76-79,共4页Chinese Journal of Obstetrics and Gynecology

摘　　要：目的　探讨血管性介入治疗 (介入治疗 )用于重度产后出血患者后对其月经的影响。方法　选择 1995年 3月至 2 0 0 2年 2月我科收治的经积极保守治疗无效 ,行介入治疗获得成功止血的重度产后出血患者 18例为介入组 ;随机选择同期分娩的正常产妇 2 0例为对照组。比较两组产妇产后恶露持续时间及月经恢复情况 ,测定两组无哺乳产妇产后第 1次月经周期 3～ 5d时卵泡刺激素(FSH)、黄体生成素 (LH)及雌二醇水平。结果　两组产妇产后恶露持续时间为 :介入组 (33 9± 2 0 )d ,对照组 (36 2± 3 1)d ,两组比较 ,差异无显著性 (P >0 0 5 ) ;第 1次月经恢复时间为 :介入组(75± 17)d ,对照组 (95± 16 )d(P >0 0 5 ) ;第 1次月经量为 :介入组为产前经量的 (1 3± 0 1)倍 ,对照组为产前经量的 (1 3± 0 2 )倍 (P >0 0 5 ) ;产后恢复正常月经量所需次数为 :介入组 (2 0± 0 4 )次 ,对照组 (1 9± 0 4 )次 (P >0 0 5 ) ;产后月经周期为 :介入组 (33 9± 2 2 )d ,对照组 (33 2± 1 6 )d(P >0 0 5 ) ;两组无哺乳产妇产后第 1次月经周期 3～ 5d时FSH、LH及雌二醇水平 :介入组分别为(5 2± 1 1)U/L、(7 5± 1 6 )U/L及 (2 6 2± 14 ) pmol/L ,对照组分别为 (4 3± 2 1)U/L、(6 3± 1 3)U/L及 (2 80± 12 )Objective To discuss the influence of interventional radiotherapy for treating severe postpartum hemorrhage on postpartum menorrhea. Methods From Mar. 1995 to Feb.2002, 18 cases of severe postpartum hemorrhage treated with arterial embolization served as the interventional group. Twenty parturients without postpartum complication were recruited as control group. The continuance of lochia, recovery of menorrhea between the two groups were compared. Serum follicle-stimulating hormone(FSH), luteinizing hormone (LH), estradiol (E 2) of the non-lactating women in the two groups were assayed during the 3rd-5th days of the first menstrual cycle. Results Continuance times of lochia were (33.9±2.0) days, and (36.2±3.1) days in interventional group and control group, respectively. Recovery times of menorrhea were (75±17) days, and (95±16) days in interventional group and control group. The quantity of the postpartum menorrhea was 1.3±0.1 times of that before delivery in interventional group,1.3±0.2 times of that in control group. The number of menstrual cycle before recovery to normal menorrhea was 2 cycles in interventional group, 1.9 cycles in control group. Postpartum menstrual cycle was (33.9±2.2) days in interventional group,(33.2±1.6) days in control group. Serum FSH, LH, E 2 of the non-lactating women during the 3rd～5th days of the first menstrual cycle were (5.2±1.1) U/L, (7.5±1.6) U/L, (262±14) pmol/L in interventional group, (4.3±2.1) U/L, (6.3±1.3) U/L, (280±12) pmol/L in control group. There was no significant difference between the two groups ( P >0.05). Conclusions No obvious influence of interventional radiotherapy for postpartum hemorrhage on postpartum menorrhea was observed.

关 键 词：产后出血 血管性介入治疗 产后月经 卵泡刺激素 黄体生成素 

分 类 号：R714.4[医药卫生—妇产科学]