Stancato-Pasik A, Mitty H A, Richard H M, Eshkar N
Department of Radiology, Mount Sinai Medical Center, New York, NY 10029, USA.
Radiology. 1997 Sep;204(3):791-3. doi: 10.1148/radiology.204.3.9280261.
To determine the long-term effects of uterine embolotherapy with gelatin sponge pledgets on menses and fertility.
Between June 1990 and December 1995, 17 women (aged 20-44 years) with obstetric hemorrhage underwent selective gelatin sponge pledget embolization of uterine vessels. Gynecologic information in the 12 women who did not undergo hysterectomy was obtained by means of direct communication or from the patients' physicians.
In 11 (92%) of the 12 women, normal menses resumed within 2-5 months of the procedure. There were no complications related to embolotherapy. The follow-up period was 1-6 years. All three patients who desired to conceive had full-term, healthy newborns. The only patient who is amenorrheic is currently receiving medroxyprogesterone acetate; her ultimate menstrual and fertility status cannot yet be determined.
Selective embolization of the uterine vessels with gelatin sponge pledgets is a safe and effective method of managing pregnancy-related hemorrhage. Our results suggest that women who undergo this procedure can expect to have a return of normal menses with no adverse effect on fertility.
确定使用明胶海绵小块进行子宫栓塞治疗对月经和生育能力的长期影响。
1990年6月至1995年12月期间，17名年龄在20 - 44岁之间、患有产科出血的女性接受了子宫血管的选择性明胶海绵小块栓塞治疗。通过直接沟通或从患者的医生处获取了12名未接受子宫切除术的女性的妇科信息。
12名女性中有11名（92%）在术后2 - 5个月内月经恢复正常。没有与栓塞治疗相关的并发症。随访期为1 - 6年。所有三名希望怀孕的患者都产下了足月健康的新生儿。唯一闭经的患者目前正在接受醋酸甲羟孕酮治疗；她最终的月经和生育状况尚无法确定。
使用明胶海绵小块对子宫血管进行选择性栓塞是治疗与妊娠相关出血的一种安全有效的方法。我们的结果表明，接受该手术的女性有望月经恢复正常，且对生育能力无不良影响。
