摘要
目的:分析经导管动脉栓塞术(TAE)治疗产后出血对产妇子宫卵巢动脉血流及功能影响。方法:选择2016年1月-2018年1月本院因产后出血行TAE治疗的产妇作为观察组,另选同期分娩的正常产妇为对照组,比较两组产妇产后子宫动脉及卵巢动脉的阻抗指数(RI)、搏动指数(PI)、收缩期峰值与舒张末期血流速度的比值(S/D)及血清抗缪勒管激素(AMH)、基础状态血清卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)水平。结果:观察组产后月经来潮时间(8.1±3.6月)短于对照组(10.5±4.0月),产后母乳喂养比例(19.0%)低于对照组(78.0%)(均P<0.05),两组产妇经期持续时间、月经量较孕前增加或减少的比率无差异(P>0.05);两组产妇左侧及右侧子宫动脉、卵巢动脉RI、PI及S/D值比较均无差异,血清AMH及基础状态血清FSH、LH、T、E2水平均无差异(均P>0.05)。结论:TAE治疗对产妇子宫、卵巢血供及卵巢功能无明显影响。
Objective:To analyze the influence of transcatheter arterial embolization(TAE)for treating women with postpartum hemorrhage on their uterine and ovarian arterial blood flow and ovarian function.Methods:The women with postpartum hemorrhage who received TAE treatment were selected in observation group from January 2016 to January 2018,and the normal postpartum women were selected in control group during the same time.The impedance index(RI),pulse index(PI),ratio of systolic peak to end-diastolic blood flow velocity(S/D),serum anti-mullerian hormone(AMH),basal serum follicle-stimulating hormone(FSH),luteinizing hormone(LH)and estradiol(E2)of women were compared between the two groups.Results:The time of menstrual recovery and postpartum breastfeeding ratio of women in the observation group were 8.1±3.6 months and 19.0%,which were significant less than those(10.5±4.0 months and 78.0%)of women in the control group(P<0.05).There were no statistical difference in the changes of menstrual period duration and menstrual volume compared to those before pregnancy of women between the two groups(P>0.05).There were no statistical difference in the RI,PI and S/D values of left and right uterine arteries and ovarian arteries,and the levels of serum AMH and serum FSH,LH,T and E2 of women between the two groups(P>0.05).Conclusion:TAE for treating women with postpartum hemorrhage has no significant adverse effect on the blood supply of their uterine and ovarian and their ovarian function.
作者
徐冬梅
陈桂霞
苏红莉
师灿南
屈慧敏
乔天義
XU Dongmei;CHEN Guixia;SU Hongli;SHI Canan;QU Huimin;QIAO Tianyi(The Third Affiliated Hospital of Zhengzhou University, Henan Province, 450000;School of Public Health, Zhengzhou University)
出处
《中国计划生育学杂志》
2020年第5期649-651,655,共4页
Chinese Journal of Family Planning
关键词
产后出血
经导管动脉栓塞术
卵巢动脉血流
卵巢功能
性激素
Postpartum hemorrhage
Transcatheter arterial embolization
Ovarian arterial blood flow
Ovarian function
Sex hormones
