产科急诊子宫切除临床分析

Clinical Analysis of Hysterectomy in Emergency of Obstetrical

目的分析产科急诊子宫切除术的原因并总结经验教训,相关危险因素及降低其发生率的可能性。方法回顾性分析我院近5年来行产科急诊子宫切除21例患者的临床资料。结果产科急诊子宫切除发生率0.177%,其中剖宫产子宫切除发生率占0.376%,阴道分娩子宫切除占阴道分娩的0.029%,胎盘因素是子宫切除的首要原因。结论①产科急诊子宫切除是挽救产妇生命的有效措施,应掌握严格的手术指征及手术时机;②多次孕产、刮宫及剖宫产是产科子宫切除的高危因素;③加强预防措施可降低产科急诊子宫切除的发生率。

Objective To analyze the cause of the obstetrical hysterectomy in emergency and to sum up experience,to explore related risk factors and probability to reduce. Methods Twenty-one patients underwent hysterectomy in emergency of obstetrical during five years were analyzed restrospectively. Results The incidence of obstetrical hysterectomy is about 0.177%,cesarean hysterectomy accounts for 0.367%, in vaginal delivery accounts for 0.029%. Placental factor is the primary indication of obstetrical hysterectomy.Conclusion （1）obstetrical hysterectomy has been proved to be the effective life-saving procedure,but the indication and the oecasio of operation should be mastered strictly;（2）The risk factors of hysterectomy of obstetrical included gravid and parturition times,curettage,cesarean section;（3）To take preventive measures is beneficial to decrease the incidence of Hysterectomy in Emergency of obstetrical.