围生期大出血保守治疗无效者行子宫切除手术的临床分析

Clinical study on operation opportunity of emergency peripartum hysterectomy

目的探讨围生期大出血保守治疗无效者子宫切除术的指征、手术方式以及时机、相关因素、母婴预后以及预防措施。方法采用回顾性方法分析我院40例围生期大出血保守治疗无效行子宫切除术患者的临床资料,并与未行围生期急症子宫切除术的40例孕妇进行对比。结果接受围生期大出血保守治疗无效者子宫切除手术患者年龄、孕次、产次等指标均高于对照组(P<0.05),孕周、新生儿体重较对照组低(P<0.05);胎盘异常黏附是大出血保守治疗无效者行子宫切除术的主要原因。结论子宫切除是孕妇发生围生期急性子宫出血时的有效抢救措施之一,能使产妇及时脱离生命危险,但救治时必须把握好手术时机。

Objective Clinical study on operation opportunity,operative indications, OperationType etc of emergency peripartum hysterectomy.Method Analysis retrospectively the clinical data of 40 cases EPH patients in our hospital.Compared with the 40 cases pregnant woman do not accept EPH.Results The age, pregnancy,number of births ect.of observation group are all higher than control group, but the gestational age and neonatal weight are lower than the control group Abnormal adhesion of placenta is the main reason of EPH.Conclusion Hysterectomy is the effective rescue measures to the patients in perinatal acute uterine bleeding. It may help the patients out of danger. Grasping the operation opportunity is important.