产科子宫切除18例分析

Analysis of 18 Cases Obstetrical Hysterectomy

目的探讨产科子宫切除的原因和防止措施。方法对18例产科子宫切除的临床资料进行回顾性分析。结果由于子宫收缩乏力所致占产科子宫切除的33.3%,是产科子宫切除的主要原因。本文产科子宫切除发生率为0.063%。其中,剖宫产发生率0.149%,经阴道分娩发生率0.017%。其中有2例留有垂体前叶功能减退后遗症,无产妇死亡。围产儿死亡1例,围产儿死亡率为5.3‰。结论加强高危妊娠的管理,降低剖宫产率,防治产后出血,可显著降低产科子宫切除的发生率及适时切除子宫,以提高抢救成功率。

Objective To study the clinical behavior of obsterical hysterctomy. Methods： 18 cases of obsterical hysterectomy were analyzed retrospectively. Result The reason of obstetrical hysterectomy was uterus contraction deficiency with 33.3%.The main indications of obstetrical hysterectomy were uterine inertia. The incidence of obstetrical hysteretomy was about 0.063%, With 0.149% experiencing cesarean, 0.017% vaginal delivery. 2 persons developed the antehypophysis hypofunction, no severe neonatal asphyxia and perinatal was 5.3‰（1 case）. Conclusion Try to do well in perinatal prevention, avoid severe obstetrical complication and reduce the rate of cesarean, those may decrease the occurrence of obstetrical uterectomy. And carrying out obsterical hysterectomy timely to increase the successful rescue rate.