产科急症子宫切除术29例分析

Study on 29 Cases of Emergency Peripartum Hysterectomy

目的 分析产科急症子宫切除术的原因、手术时机和手术方式,探讨子宫切除术在产科急症中的应用价值。方法 对2 9例产科急症子宫切除术进行回顾性分析。结果 产科急症子宫切除主要原因为:胎盘因素、子宫收缩乏力、妊娠合并症、产科DIC等。手术方式以子宫次全切除为主。结论 子宫切除术是抢救产科急、重症出血,降低孕产妇死亡的重要措施。

Objective To estimate the value of emergency peripartum hysterectomy by analyzing its causes, operation opportunities and operation manners. Methods A retrospective analysis was performed on 29 cases of emergency peripartum hysterectomy. Results The main causes of emergency peripartum hysterectomy includes placental reasons, uterine atony, complications of pregenancy, DIC, and so on . Subtotal hysterectomy is a better operation method. Conclusion Hysterectomy is one of the effective methods on arresting severe postpartum hemorrhage and decreasing the death rate of pregnancy women.