子宫动脉栓塞术治疗早期人工流产后出血的疗效分析

目的探讨子宫动脉栓塞术在早期人工流产后大出血中的疗效。方法收集山西医科大学第一医院2008年1月—2012年3月,43例早期人工流产后出血并运用子宫动脉栓塞术治疗的病例,其中28例出血原因为剖宫产后切口部位妊娠;10例出血原因为胎盘因素(8例为胎盘植入,2例为前置胎盘);3例出血原因为子宫颈妊娠;2例出血原因为子宫动静脉瘘。结果 43例病例中41例成功栓塞避免了子宫切除,2例经栓塞后仍有活动性出血,行次全子宫切除术。患者栓塞后均无严重不良反应及并发症。结论对早期人工流产后大出血,子宫动脉栓塞术是一种及时有效的止血方法,并能保留患者的生育功能。

Objective To investigate the clinical efficacy of uterine artery embolization in early postabortal hemorrhage. Methods Forty-seven women were identified who had postabortion uterine artery embolization at First Hospital of Shan Xi Medical University from January 2008 to March 2012. 28 patients underwent embolization for hemorrhage caused by uterine scar pregnancy; 10 patients underwent embolization for hemorrhage caused by placenta facto.r; 3 patients underwent embolization for hemorrhage caused by cervical pregnancy; 2 patients underwent embolization for hemorrhage caused by arteriovenous fistula. Results Embolization was successful in 95.3% （41 of 43） of cases. 2 cases were performed subtotal hysterectomy. No patients experienced complications of uterine artery embolization. Conclusion Uterine artery embolization is an effective method for early postabortion hemorrhage, it can preserve the fertility of women.