產科子宮切除術(附45例臨床分析)

OBSTETRICAL HYSTERECTOMY CUNICAL ANALYSIS OF 45 CASES

對我院1974至1994年45例產科子宫切除術的臨產資料進行分析。產科子宮切除率佔分娩總數的0.09%,因宮縮乏力,產後大出血行子宮切除者19例(42.22%)居首位,胎盤植入次之。並對產科子宮切除的手術指徵、術式的選擇及如何隆低手術率進行了討論。

Clinical data of 45 cases with Obstetrical hysterectomy between 1974 and 1994 was analysed.The hysterectomy rate was 0.09%.Among the 45 cases,there were 19 cases(42.22%)hysterectomy performed due to uterine inertia and postpartum hemorrhage,which became the leading cause of hysterectomy in this group,placenta accreta was the second cause.Indication of Obstetrical hysterectomy,selection of operative pattern and how to reduce the Obstetrical hysterectomy rate were discussed.