Kim Tae-Hee, Lee Hae-Hyeog, Kim Jun-Mo, Ryu Ae-Li, Chung Soo-Ho, Seok Lee Woo
Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea.
Department of Urology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea.
Iran J Reprod Med. 2013 Jun;11(6):511-8.
Postpartum hemorrhage is the leading cause of severe maternal morbidity and death. A prompt management of uterine artery embolization (UAE) is important for a good outcome. UAE is generally accepted to be a safe and reliable procedure.
To estimate critical patient characteristics influencing the success of UAE for the treatment of emergent primary postpartum hemorrhage.
This was a cross sectional study that reviewed 121 patients who were diagnosed primary postpartum hemorrhage between February 2002 and December 2009 at a tertiary treatment center among 4,022 deliveries. We evaluated patient clinical characteristics associated with a successful surgical outcome of UAE.
The success rate for UAE was 96%. For two cases, UAE complication was associated with fever (>38.5(o)C). Five patients had problems that required admission to the intensive care unit (ICU).
To increase the surgical success rate and lower the number of ICU admissions, the decision to treat primary postpartum hemorrhage using UAE should be based on individual patient clinical findings under the direction of obstetrics staff and an interventional radiologist.
产后出血是导致孕产妇严重发病和死亡的主要原因。及时进行子宫动脉栓塞术（UAE）对于取得良好疗效至关重要。UAE通常被认为是一种安全可靠的手术。
评估影响UAE治疗原发性产后出血急症成功率的关键患者特征。
这是一项横断面研究，回顾了2002年2月至2009年12月在一家三级治疗中心4022例分娩中被诊断为原发性产后出血的121例患者。我们评估了与UAE手术成功结果相关的患者临床特征。
UAE的成功率为96%。有2例患者，UAE并发症与发热（>38.5℃）有关。5例患者出现需要入住重症监护病房（ICU）的问题。
为提高手术成功率并减少入住ICU的人数，在产科工作人员和介入放射科医生的指导下，应根据患者个体临床检查结果决定是否使用UAE治疗原发性产后出血。
