The Study Of Endometiral Injury After Uterine Artery Embolization

Uterine artery embolization（UAE） has many advantages——Itcan not only easily and simply to handle,quickly and effectivelyto stop bleeding,but also it can reserve uterine.After years of clinical practice UAE has been graduallyaccepted by all people.But it sometimes reports that UAEpostoperative cases have endometrial injury. This study useshysteroscopy and evaluates the menstrual conditions to discussthe pathogenetic mechanisms and controlling measures ofpostoperative endometrial lesions after UAE applied in theuterine scar pregnancy (CSP), cervical pregnancy, postpartumhemorrhage, uterine fibroids and functional barrier uterinebleeding.Objective：Discuss the mechanism of postoperative endometrial lesionsafter UAE applied in the CSP, cervical pregnancy, postpartumhemorrhage, uterine fibroids and functional barrier uterinebleeding.Explore the reasonable measures of prevention and treatment of UAE postoperative endometrial lesions.Methods:This study analyze clinical data of38cases in the secondaffiliated hospital of Jilin university from February2011to May2011retrospectively and follow up UAE postoperative.38patientsdivided into uterine scar pregnancy (CSP) in16cases, cervicalpregnancy group8cases,6cases of postpartum hemorrhage group,4cases of uterine fibroids group, the function barrier uterinebleeding group4cases, a total of5groups. Each group of UAEpostoperative conditions are compared with preoperative period.Analyze the conditions of endometrial injury,prevention andtreatment methods after the UAE.Results:Postoperative cases were followed up for1～5years.Therewas no statistical significance in menstrual cycle or menstrualperiod in the5groups.（P>0.05）. It is about30days that36cases of postoperative period for the first time from the UAE among38cases.There are4cases (10.53%)postoperative first menstrualquantity is very few(blood drips out only a little from vagina),and it is proved intrauterine adhesions by hysteroscopyexamination.But luckily all of the patients havebeen recoverd after treatment,and there is no change in menstrualquantity compared with preoperative. There still are2patientswith postoperative amenorrhoea so far. Conclusions:It will help to reduce and prevent the happening of the UAEpostoperative endometrial lesions,such as the hysteroscopyexamination and treatment in time, the female progestogensequential therapy and prevention of intrauterine infection andother measures.