产科因素导致子宫切除的临床分析

The clinical analysis of hysterectomy caused obstetric factors

目的探讨产科因素导致子宫切除的相关危险因素以及如何降低其发生率进行临床分析,从而及时有效的降低危险因素的发生来指导临床。方法回顾性的分析本院2003年3月至2013年3月由于产科因素导致子宫切除的38例患者的临床资料。结果子宫切除的指证主要是由于产后大出血导致的,具体以胎盘因素为主,其次是子宫收缩乏力,子宫破裂等因素。结论由于产科因素导致大出血的最有效的措施就是行子宫切除术。是抢救孕产妇生命的有效途径,但是要严格掌握剖宫产手术指征,产前有效的诊断以及孕期检查能够有效地降低产科因素导致子宫切除发生的可能,从而降低孕产妇和胎儿的死亡率。

Objective To investigate the obstetrical factors lead to the risk of hysterectomy factors and how to reduce the incidence of clinical analysis, so as to effectively reduce the risk factors to guide clinical. Methods Retrospectivly analysis the clinical data of our hospital March 2003 to March 2013 due to obstetric factors leading to the 38 cases of hysterectomy. Results The hysterectomy indication is mainly due to postpar tum hemorrhage causes, specific to the placenta factor, followed by uterine atoMy, uterine rupture and other fac tors. Conclusion Obstetric factors leading to bleeding is the most effective measure to hysterectomy. And the effective way to save maternal life, but to strictly grasp cesarean section indication of operation, effective diag nosis and prenatal examination during pregnancy can effectively reduce the obstetric factors leading to hysterec tomy may occur, thus reducing maternal and fetal mortality.