产科急诊子宫切除术27例临床分析

Clinical analysis of hysterectomy in obstetric emergency

目的探讨产科急诊子宫切除术的指征，旨在降低其发生率。方法采用回顾性分析方法对产科急诊子宫切除术27例临床资料进行了分析。结果27例产科急诊子宫切除术指征均为子宫出血。子宫出血的原因中胎盘因素居第1位，产后弥漫性血管内凝血居第2位，产后宫缩乏力居第3位。结论胎盘植入和难以控制的子宫出血是产科急诊子宫切除术的主要指征，要降低产科急症子宫切除术的发生率，应做好围产期保健工作，加强孕期检查，及时诊治弥漫性血管内凝血的诱发病。

Objective The indication of hysterectomy in obstetrics emergency was studied in order to defend and decrease the incidence of hysterectomy. Method 27 cases with hysterectomy in obstetric emergency were retrospectively analyzed. Results The all indication of 27 cases of hysterectomy was endometrorrhagia in obstetric emergency. The first cause of endometrorrhagia was placental complication, the second cause was puerperal disseminated intravascular coagulation, the third cause was puerperal uterine anonym. Conclusion In order to decrease the incidence of hysterectomy in obstetric emergency, the family planning and health work of perinatal period should be done goodly, the antenatal examination should be strengthened and disseminated intravascular coagulation should be made a diagnosis and treatment timely.