CAJ | 학술논문

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。
목적：탐토자궁동맥전새술재조기인공유산후대출혈중적료효。방법수집산서의과대학제일의원2008년1월-2012년3월，43례조기인공유산후출혈병운용자궁동맥전새술치료적병례，기중28례출혈원인위부궁산후절구부위임신；10례출혈원인위태반인소（8례위태반식입，2례위전치태반）；3례출혈원인위자궁경임신；2례출혈원인위자궁동정맥루。결과43례병례중41례성공전새피면료자궁절제，2례경전새후잉유활동성출혈，행차전자궁절제술。환자전새후균무엄중불량반응급병발증。결론대조기인공유산후대출혈，자궁동맥전새술시일충급시유효적지혈방법，병능보류환자적생육공능。
Objective To investigate the clinical efifcacy of uterine artery embolization in early postabortal hemorrhage . Methods Forty-seven women were identiifed 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 factor;3 patients underwent embolization for hemorrhage caused by cervical pregnancy;2 patients underwent embolization for hemorrhage caused by arteriovenous ifstula. 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.