Descargues G, Mauger Tinlot F, Douvrin F, Clavier E, Lemoine J P, Marpeau L
Department of Obstetrics and Gynaecology, Rouen University Hospital Charles Nicolle, France.
Hum Reprod. 2004 Feb;19(2):339-43. doi: 10.1093/humrep/deh082.
The long-term effects of uterine artery embolization for the control of postpartum haemorrhage on menses, fertility and future pregnancy evolution have not been assessed.
Between November 1993 and July 1999, 31 women with obstetric haemorrhage underwent arterial embolization. Four patients underwent a hysterectomy. Gynaecological information on 25 of the 27 patients who did not undergo hysterectomy was obtained by interview.
All women had a return of normal menses. Nine of the 25 patients desired subsequent pregnancy and five patients became pregnant with normal delay of conception. Moreover, two other patients who did not plan another pregnancy became pregnant. A total of 10 pregnancies was studied, four ended during the first trimester. For the six others, the maternal evolution of the pregnancy was uneventful until term. No case of pre-eclampsia was observed. The ultrasonographic examinations revealed normal fetal growth and umbilical and uterine Doppler studies showed no anomaly. No repetition of obstetric haemorrhage was observed. All full-term, newborns were healthy, weighing from 3220 to 4100 g.
Our results suggest that women who undergo arterial embolization for obstetric haemorrhage should expect to have a return of normal menses with preservation of future fertility and successful uneventful pregnancies.
子宫动脉栓塞术控制产后出血对月经、生育能力及未来妊娠进展的长期影响尚未得到评估。
1993年11月至1999年7月，31例产科出血患者接受了动脉栓塞术。4例患者接受了子宫切除术。通过访谈获取了27例未接受子宫切除术患者中25例的妇科信息。
所有女性月经均恢复正常。25例患者中有9例希望后续妊娠，5例妊娠受孕延迟正常。此外，另外2例未计划再次妊娠的患者也怀孕了。共研究了10次妊娠，4例在孕早期结束。另外6例，孕期母亲情况平稳直至足月。未观察到子痫前期病例。超声检查显示胎儿生长正常，脐动脉和子宫多普勒检查未显示异常。未观察到产科出血复发。所有足月新生儿均健康，体重在3220至4100克之间。
我们的结果表明，因产科出血接受动脉栓塞术的女性应预期月经恢复正常，未来生育能力得以保留，妊娠成功且情况平稳。
