产科急症子宫切除术11例临床分析

Emergency obstetric hysterectomy:clinical analysis of 11 cases

目的探讨产科急症子宫切除术在抢救产后大出血中的应用价值。方法对该院产科2007-01～2012-01收治的11例因产科急症行子宫切除术患者的临床资料进行回顾性分析及文献复习。结果 11例中,行次全子宫切除8例,全子宫切除3例,均痊愈出院。急症子宫切除术率,经产妇(0.152%)高于初产妇(0.011%)(P=0.000);剖宫产手术者(0.126%)高于阴道分娩者(0.012%)(P=0.000)。结论产科急症子宫切除术是治疗急性产后大出血的有效手段之一。

Objective To explore the application value of emergency obstetric hysterectomy in the rescue of severe postpartum hemorrhage.Methods A retrospective analysis was performed on the clinical data of 11 patients receiving emergency hysterectomy because of obstetric emergencies in department of obstetrics and gynecology of our hospital between January 2007 and January 2012.The related literatures were reviewed.Results Of 11 patients,8 patients received subtotal hysterectomy,3 patients received total hysterectomy.All patients were recovered.The uterine resection rate of multipara was higher than that of primipara（0.152% vs 0.011%）（P = 0.000） ;The uterine resection rate of parturient women undergoing uterine resection was higher than that of parturient women undergoing vaginal delivery（0.126% vs 0.012%,P = 0.000）.Conclusion Emergency obstetric hysterectomy is one of the effective methods for the treatment of acute severe postpartum hemorrhage.