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重度产后出血患者行血管性介入治疗后对其产后月经影响的研究
其他题名Influence of interventional radiotherapy for severe postpartum hemorrhage on postpartum menorrhea
王锦江; 陈春林; 刘萍; 马奔; 曾北蓝; 张玉洁; 陈淑贤; 何淑贞
来源期刊中华妇产科杂志
ISSN0529-567X
出版年2004
卷号39期号:2页码:76-79
中文摘要目的探讨血管性介入治疗(介入治疗)用于重度产后出血患者后对其月经的影响.方法选择1995年3月至2002年2月我科收治的经积极保守治疗无效,行介入治疗获得成功止血的重度产后出血患者18例为介入组;随机选择同期分娩的正常产妇20例为对照组.比较两组产妇产后恶露持续时间及月经恢复情况,测定两组无哺乳产妇产后第1次月经周期3~5 d时卵泡刺激素(FSH)、黄体生成素(LH)及雌二醇水平.结果两组产妇产后恶露持续时间为:介入组(33.92.0)d,对照组(36.23.1)d,两组比较,差异无显著性(P>0.05);第1次月经恢复时间为:介入组(7517)d,对照组(9516)d(P>0.05);第1次月经量为:介入组为产前经量的(1.30.1)倍,对照组为产前经量的(1.30.2)倍(P>0.05);产后恢复正常月经量所需次数为:介入组(2.00.4)次,对照组(1.90.4)次(P>0.05);产后月经周期为:介入组(33.92.2)d,对照组(33.21.6)d(P>0.05);两组无哺乳产妇产后第1次月经周期3~5 d时FSH、LH及雌二醇水平:介入组分别为(5.21.1) U/L、(7.51.6) U/L及(26214) pmol/L,对照组分别为(4.32.1)U/L、(6.31.3) U/L及(28012) pmol/L,两组比较,差异无显著性(P>0.05). 结论介入治疗用于重度产后出血患者后,对产妇产后月经的恢复没有明显影响.
英文摘要Objective To discuss the influence of interventional radiotherapy for treating severe postpartum hemorrhage on postpartum menorrhea. Methods From Mar. 1995 to Feb. 2002, 18 oases of severe postpartum hemorrhage treated with arterial embolization served as the interventional group. Twenty parturients without postpartum complication were recruited as control group. The continuance of lochia, recovery of menorrhea between the two groups were compared. Serum follicle-stimulating hormone (FSH) , luteinizing hormone (LH) , estradiol (E2) of the non-lactating women in the two groups were assayed during the 3rd-5th days of the first menstrual cycle. Results Continuance times of lochia were (33.9 2.0) days, and (36.2 3.1) days in interventional group and control group, respectively. Recovery times of menorrhea were (75 17) days, and (95 16) days in interventional group and control group. The quantity of the postpartum menorrhea was 1.3 0.1 times of that before delivery in interventional group, 1. 3 0. 2 times of that in control group. The number of menstrual cycle before recovery to normal menorrhea was 2 cycles in interventional group, 1.9 cycles in control group. Postpartum menstrual cycle was (33.9 2.2) days in interventional group, (33.2 1.6) days in control group. Serum FSH, LH, E2 of the non-lactating women during the 3rd ~5th days of the first menstrual cycle were (5. 2 1.1) U/L, (7.5 1.6) U/L, (262 14) pmol/L in interventional group, (4.3 2.1) U/L, (6.31.3) U/L, (280 12) pmol/L in control group. There was no significant difference between the two groups (P > 0.05). Conclusions No obvious influence of interventional radiotherapy for postpartum hemorrhage on postpartum menorrhea was observed.
中文关键词产后出血 ; 放射摄影术 ; 介入性 ; 月经
英文关键词Postpartum hemorrhage Radiography interventional Menstruation
语种中文
国家中国
收录类别CSCD
WOS类目OBSTETRICS GYNECOLOGY
WOS研究方向Obstetrics & Gynecology
CSCD记录号CSCD:1566219
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/205819
作者单位广州市第一人民医院妇产科,妇产医学介入诊疗中心, 510180
推荐引用方式
GB/T 7714
王锦江,陈春林,刘萍,等. 重度产后出血患者行血管性介入治疗后对其产后月经影响的研究[J],2004,39(2):76-79.
APA 王锦江.,陈春林.,刘萍.,马奔.,曾北蓝.,...&何淑贞.(2004).重度产后出血患者行血管性介入治疗后对其产后月经影响的研究.中华妇产科杂志,39(2),76-79.
MLA 王锦江,et al."重度产后出血患者行血管性介入治疗后对其产后月经影响的研究".中华妇产科杂志 39.2(2004):76-79.
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