Clinical observation on interventional uterine artery embolization in treatment of refractory postpartum hemorrhage

Objective To investigate the clinical value of interventional uterine artery embolization in treatment of refractory postpartum hemorrhage.Methods 40 patients receiving interventional uterine artery embolization(observation group) and 40 patients receiving hysterectomy(control group) from October 2009 to October 2012 were retrospectively analyzed,and the clinical data was compared between the two groups.Results All the patients of the observation group were successfully embolized at the first time,with a hemostasis effective rate of 97.50%(39/40),which of the control group was 95.00%(38/40),and the difference in hemostasis effective rate between the two groups had no statistical significance(P0.05).The operative time,postoperative out-of-bed activity time and average postoperative length of stay and so on of the observation group were all better than those of the control group,and the differences were all statistically significant(P0.05).The conditions of postoperative fever,pain,infection and secondary anemia and so on of the observation group were all better than those of the control group,and the differences had no statistical significance(P0.05).Conclusion Interventional uterine artery embolization in treatment of refractory postpartum hemorrhage could have a similar hemostasis rate to hysterectomy,but a rapider speed in operation,smaller wound,less pain and rapider recovery speed,which might be beneficial to the postoperative rehabilitation of the patients and consequently be worthy of clinical generalization and application.