产科子宫切除术43例临床分析

Obstetrical hysterectomy analysis of 43 cases

目的:探讨子宫切除术在抢救产科大出血中的应用价值以及降低产科子宫切除术的可能性。方法:对产科近15年间所做的产科子宫切除术43例做了回顾性分析。结果:产科子宫切除术的发生率为0.15%,子宫切除的主要指征为D IC、子宫收缩乏力、胎盘因素、剖宫产术后子宫切口感染、子宫破裂。相关因素分析显示:孕产次、多胎妊娠、分娩方式等因素与产科子宫切除术相关。结论:产科子宫切除术是治疗产科急性大出血的有效措施之一,做好计划生育和孕产妇监护,正确掌握剖宫产指征,可以有效降低产科子宫切除术发生率。

Objective： To investigate the value of hysterectomy on arresting severe postpartum hemorrhage and the possibility of decreasing the incidence of obstetric hysterectomy. Methods： From 1992 to 2006, 43 cases of obstetrical hysterectomy were retrospected. Results： The incidence of obstetrical hysterectomy was about 0. 15%. The main indication of obstetrical hysterectomy were DIC, uterine atony, placenta factors, infection of uterine incision and uterine rupture. Hysterectomy was related to times of gestation and de- livery and also to delivery pattern. Condusion： Hysterectomy is one of the effective methods on arresting severe postpartum hemorrhage, which is advised to improve pregnant monitoring and to advocate family planning, and to master the indication of cesarean section appropriate- ly can efficiently reduce the incidence of obstetrical hysterectomy.