子宫动脉栓塞术治疗流产后出血的疗效分析

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。...

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Published in中国临床医学 Vol. 23; no. 2; pp. 229 - 232
Main Author 张鑫 王之 许文娟 赵蕴芝
Format Journal Article
LanguageChinese
Published 上海市普陀区中心医院妇产科,上海,200662%上海市普陀区中心医院放射科,上海,200662 2016
Subjects
剖宫产瘢痕妊娠
子宫动脉栓塞术
流产后出血
稽留流产
胎盘粘连
流产后出血
cesarean scar pregnancy
placenta accreta
稽留流产
子宫动脉栓塞术
剖宫产瘢痕妊娠
胎盘粘连
missed abortion
uterine artery embolization
postabortal hemorrhage
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ISSN1008-6358

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Summary: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。
Bibliography:31-1794/R
uterine artery embolization; postabortal hemorrhage; placenta accreta; missed abortion; cesareanscar pregnancy
ZHANG Xin , WANG Zhi, XU Wen-juan , ZHAO Yun zhi（ 1. Department of Gynaeeology and Obstetrics, Putuo District Center Hospital, Shanghai 200662, China 2. Department of Radiology, Putuo District Center Hospital, Shanghai 200662, China）
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 complication
ISSN:1008-6358