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| Effects of the surgery of uterine artery embolization for treating patients with postpartum hemorrhage because of placenta previa after cesarean section on their stress response and ovarian reserve |
| 1. The Sixth People's Hospital of Huizhou, Huizhou, Guangdong Province, 516211；2. Hui Ya Hospital of The First Affiliated Hospital, Sun Yat-Sen University, Huizhou；3. Huizhou Central People's Hospital |
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Abstract To explore the effects of the surgery of uterine artery embolization for treating patients with postpartum hemorrhage because of placenta previa after cesarean section on their stress response and ovarian reserve function. Methods: The related data of 60 patients with postpartum hemorrhage because of placenta previa after cesarean section from January 2019 to May 2020 were analyzed retrospectively. According to the therapeutic schedule, these patients were divided into group A (30 patients accepted uterine artery embolization) and group B (30 patients accepted uterine artery ligation). The hemostatic effects of the patients in the two groups were observed. The levels of serum aldosterone (ALD), adrenocorticotrophic hormone (ACTH), and cortisol stress response factor of the patients 3d before operation and 7d after operation, and the levels of ovarian reserve function indexes, such as anti-Mullerian hormone (AMH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), and estradiol (E2), of the patients at in and 6 months after operation were compared between the two groups. Results: There were no significant differences in the immediate hemostatic rate (86.7% vs. 80.0%) and the hemostatic effective rate (96.7% vs. 90.0%) of the patients between groups (P＞0.05). The levels of ALD, ACTH, and cortisol stress response factor of the patients in both groups after cesarean section had increased significantly, but which of the patients in group A were significantly higher than those of the patients in group B (P＜0.05). The levels of AMH, FSH, LH, and E2 of the patients in group A in 3 months after operation were significantly higher than those of the patients in group B (P＜0.05), which of the patients in 6 months after cesarean section had no significant different between the two groups (P＞0.05). Conclusion: Uterine artery embolization for treating patients with postpartum hemorrhage because of placenta previa after cesarean section has exact curative effect, and which can reduce the stress response effectively with less influence on their postoperative short-term ovarian reserve function of the patients.
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