| Objective To explore the effect of uterine artery embolization (UAE) on the complications of postpartum bleeding (PPH) and perinatal pregnancy outcome of second pregnancy. Methods From January 2015 to December 2019, 79 patients with PPH who received UAE treatment in Tangshan Maternal and Child Health Hospital were regarded as the UAE group, and 78 patients with PPH who received uterine artery ligation (UAL) treatment in our hospital were regarded as the UAL group. The intraoperative and postoperative recovery, the levels of ovarian function, the incidence of short-and long-term postoperative complications, and the pregnancy outcome of re-pregnancy were compared between the two groups. At the same time, the influencing factors of long-term complications after treatment of postpartum hemorrhage were determined by logistic regression analysis.Results The intraoperative blood loss[(959.70±203.15) mL], hemostasis time [(30.59±5.81) min],hospital stay[(7.33±1.58) d], and postpartum menstrual recovery time[(72.14±16.42) d] in the UAE group were obviously lower than those in the UAL group[(1 206.41±226.84) mL, (45.24±7.56) min,(9.56±2.27) d,(77.73±18.02) d](P<0.05),and the ratio of first postpartum menstrual volume to average menstrual volume before pregnancy (1.13±0.35) were obviously higher than those in the UAL group(0.92±0.29)(P<0.05),after operation, the level of AMH and E2 in the UAL group were lower than that before operation(P<0.05),the levels of FSH in the UAL group was higher than that before operation(P<0.05),and the difference in AMH, E2, and FSH between the two groups before and after surgery was statistically significant(P<0.05),the short-term and long-term complication rate of the UAE group was 3.80% and 5.06%, respectively, which was ob viously lower than that of the UAL group(12.82% and 15.38%)(P<0.05),and logistic regression analysis confirmed that the treatment method was the factor affecting the occurrence of long-term complications after the treatment of postpartum hemorrhage, there was no obvious difference in the incidence of perinatal pregnancy outcomes such as scar pregnancy,spontaneous abortion and placenta previa in the UAE group compared with the UAL group (P>0.05). Conclusions Compared with UAL,UAE has more rapid hemostasis in PPH patients, shorter menstrual recovery time,less impact on ovarian function, and lower incidence of near-and long-term complications.There was no difference in perinatal pregnancy outcome between the two hemostatic methods. |
