孕产妇子宫切除8例临床分析

目的:探讨孕产妇子宫切除术的手术指征、手术时机及母儿预后。方法:收治子宫切除患者8例,进行回顾性分析。结果:两组病例均较大比例未行系统产检;分娩方式成功组阴道分娩比例较死亡组低;手术指征成功组以胎盘因素为主,包括子宫收缩乏力羊水栓塞、凝血功能障碍、子宫畸形,死亡组则集中于羊水栓塞、胎盘因素、子宫破裂。结论:加强围产保健,确掌握产科急症子宫切除的手术时机是临床抢救产科大出血的重要措施。

Objective：To investigate maternal hysterectomy surgical indications,timing of surgery and the prognosis of mother and child.Methods：8 patients hysterectomy cases in hospital in June 2010～March 2012 were retrospectively analyzed.Results：Both cases are a large proportion did not undergo the system check-ups;mode of delivery group with successful vaginal delivery ratio is lower than the death group;indications for surgery success group placental factors,including uterine atony amniotic fluid embolism,coagulation disorders,uterine malformations death group concentrated in the amniotic fluid embolism,placental factors,uterine rupture.Conclusion：Enhancing Perinatal Care,and indeed to master the timing of surgery obstetric emergency hysterectomy is an important measure of clinical rescue of severe postpartum hemorrhage.