en آمبولیزاسیون شریان رحمی جهت خونریزی اولیه بعد از زایمان Original Article Original Article <strong><span style="font-family:b mitra;">مقدمه:</span></strong><span style="font-family:b mitra;">خونریزی بعد از زایمان از علل اصلی مرگ و میر مادران می&shy;باشد. مدیریت صحیح آمبولیزاسیون شریان رحمی (</span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">UAE</span></span></span><span style="font-family:b mitra;">) جهت یک نتیجه خوب مهم است. </span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">UAE</span></span></span><span style="font-family:b mitra;"> معمولا به عنوان یک عمل بی&shy;خطر و قابل اتکا مطرح است.</span><span style="font-family:times new roman,serif;"></span><br> <strong><span style="font-family:b mitra;">هدف: </span></strong><span style="font-family:b mitra;">هدف از انجام مطالعه، </span><span style="font-family:b mitra;">اهمیت بررسی مشخصات مهم بیمارانی که در موفقیت </span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">UAE</span></span></span><span style="font-family:b mitra;"> برای درمان خونریزی اولیه بعد از زایمان بودند، بود. </span><span style="font-family:b nazanin;"></span><br> <strong><span style="font-family:b mitra;">مواد و روش&shy;ها:</span></strong><span style="font-family:b mitra;">در این مطالعه&shy;گذشته نگر، 121 بیمار با تشخیص خونریزی اولیه بعد از زایمان در یک فاصله زمانی بین فوریه 2002 و دسامبر 2009 در یک مرکز تخصصی درمانی از بین 4022 زایمان بررسی شدند. بیماران &nbsp;جهت مشخصات کلینیکی در ارتباط با </span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">UAE</span></span></span><span style="font-family:b mitra;"> بررسی گردیدند.</span><span style="font-family:times new roman,serif;"></span><br> <strong><span style="font-family:b mitra;">نتایج: </span></strong><span style="font-family:b mitra;">درصد موفقیت&nbsp;</span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">UAE</span></span></span><span style="font-family:b mitra;"> 96% بود. برای 2 بیمار عوارض </span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">UAE</span></span></span><span style="font-family:b mitra;"> در ارتباط با تب بالای 38/5% بود. 5 بیمار مشکلاتی داشتند که به بخش مراقبت&shy;های ویژه </span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">ICU</span></span></span><span style="font-family:b mitra;"> منتقل شدند.</span><span style="font-family:b mitra;"></span><br> <strong><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">نتیجه&shy;گیری:</span></span></span></strong><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">جهت افزایش موفقیت جراحی و کاهش تعداد مراجعین به ICU،تصمیم&shy;گیری برای درمان خونریزی اولیه بعد زایمان و استفاده از UAE&nbsp;</span></span></span><span style="font-family:b mitra;">باید بر اساس یافته&shy;های بالینی هر بیمار و زیر نظر پرسنل زنان و زایمان و رادیولوژی مداخله&shy;ای باشد.</span><span style="font-family:b mitra;"></span><br> &nbsp;<br> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">&nbsp;</span></span></span><strong><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">&nbsp;</span></span></span></strong> <strong>Background:</strong> Postpartum hemorrhage is the leading cause of severe maternal morbidity and death. A prompt management of uterine artery embolization (UAE) is important for a good outcome. UAE is generally accepted to be a safe and reliable procedure.<br> <strong>Objective:</strong> To estimate critical patient characteristics influencing the success of UAE for the treatment of emergent primary postpartum hemorrhage.<br> <strong>Materials and Methods:</strong> This was a cross sectional study that reviewed 121 patients who were diagnosed primary postpartum hemorrhage between February 2002 and December 2009 at a tertiary treatment center among 4,022 deliveries. We evaluated patient clinical characteristics associated with a successful surgical outcome of UAE.<br> <strong>Results:</strong> The success rate for UAE was 96%. For two cases, UAE complication was associated with fever (>38.5oC). Five patients had problems that required admission to the intensive care unit (ICU).<br> <strong>Conclusion:</strong> To increase the surgical success rate and lower the number of ICU admissions, the decision to treat primary postpartum hemorrhage using UAE should be based on individual patient clinical findings under the direction of obstetrics staff and an interventional radiologist.  آمبولیزاسیون شریان رحمی, خونریزی بعد از زایمان, بارداری. Uterine artery embolization, Postpartum hemorrhage, Pregnancy. 511 0 http://ijrm.ir/browse.php?a_code=A-10-1-492&slc_lang=en&sid=1 Tae-Hee Kim No Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea Hae-Hyeog Lee hhl22@chol.com Yes Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea Jun-Mo Kim No Department of Urology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea Ae-Li Ryu No Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea Soo-Ho Chung No Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea Woo Seok Lee No Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea