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| Effect of vasectomy and embolization for treating postpartum hemorrhage because of uterine asthenia of women after cesarean section |
| 1. The Fourth People's Hospital of Kunshan, Jiangsu Province, 215331; 2. The First People's Hospital of Kunshan |
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Abstract Objective: To analyze the effect of vasectomy and embolization for treating postpartum hemorrhage because of uterine asthenia of women after cesarean section, and to study its influencing factors. Methods: The clinical data of 34 women with uterine artery ligation (in group A) and 40 women with uterine artery embolization (in group B) because of postpartum hemorrhage during cesarean section were analyzed retrospectively. Other normal women were included in group C. The efficacy of the two hemostasis methods was compared, and the influencing factors of hemostasis failure were analyzed. Results: There was no statistically significant different in the hemostasis success rate of women between the two groups (P>0.05). The amount of preoperative blood loss of women in group A was significant less than that of women in group B, but the operation time of women in group A was significant longer (P<0.05). Bilateral uterine artery blood flow RI by ultrasound of women in group A and B was significant more than that of women in group C (P<0.05), but that of women had no significant difference between group A and B(P>0.05). There was no significant different in bilateral uterine artery blood flow S/D of women among the three groups (P>0.05). The age, the rate of emergency cesarean section, scar uterus history, and abnormal coagulation function of women with failed hemostasis were significantly higher than those of women with successful hemostasis (P<0.05). There was no significant different in gestional weeks when delivery and the proportion of parity ≥2 times of women between group A and B (P>0.05). The emergency cesarean section, scar uterus history, and abnormal coagulation function were independent risk factors for hemostasis failure (P<0.05), but age ≥35 years old was no correlated with hemostatic failure (P>0.05). Conclusion: The success rate of uterine artery ligation used for the hemostasis and its influence on the longterm uterine artery blood flow parameters of pregnant women are similar to those of uterine artery embolization. And emergency cesarean section, scar uterus history, and abnormal coagulation function will affect the hemostatic effect by both uterine artery ligation and uterine artery embolization.
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