急症子宫切除术临床56例治疗体会

目的对急症子宫切除术的治疗方法及手术指征进行分析。方法选取56例因产科因素行子宫切除术的患者,对其临床资料进行回顾性分析。结果所有患者中,阴道分娩10例,行剖宫产46例,手术指征分别为:胎盘因素35例,占62.5%,子宫破裂5例,占8.9%,官缩乏力10例,占17.8%,凝血功能障碍6例,占10.7%;手术方式:行子宫次全切除术41例,占73.2%,行子宫全切除术15例,占26.8%。所有患者经子宫切除术治疗后均抢救成功,新生儿存活52例,占92.8%,死亡4例,占7.1%。结论导致子宫切除的主要因素为胎盘因素,在产妇分娩的过程中,应该积极进行胎盘异常的干预及治疗,将发病率及死亡率有效降低。

Objective Analysis of the treatment method and indication of emergency hysterectomy. Methods 56 cases of hysterectomy patients because of obstetric factors, the clinical data were retrospectively analyzed. Results All patients, 10 cases of vaginal delivery, cesarean section 46 cases; surgical indications were： 35 cases of placental factors, accounted for 62.5%, uterine rupture in 5 cases, 8.9%, 10 cases of uterine atony, 17.8%, coagulation dysfunction in 6 cases, 10.7%; operation mode： the uterus subtotal resection 41 cases, accounting for 73.2%, total hysterectomy, 15 cases accounted for 26.8%. All patients after hysterectomy were successfully rescued, neonatal survival in 52 cases, accounting for 4, 92.8% cases of death, accounting for 7.1%. Conclusion The main factor that causes the hysterectomy is the placenta factor, in the process of the maternal delivery, the positive abnormal intervention and treatment, can reduce the incidence of the disease, which has important application value.