围生期急诊子宫切除术12例分析

Analysis of 12 cases of perinatal emergency hysterectomy

目的 探讨围生期急诊子宫切除术的手术指征、手术方式及救治方案。方法 回顾分析 12年来 12例围生期急诊切除子宫病例。结果 12例病例中 3例行全子宫切除术 ,9例行次全子宫切除术 ;手术指征为产后出血 (出血量 150 0～ 3 0 0 0ml) ,原因依次是胎盘早剥、胎盘粘连、羊水栓塞、子宫破裂、软产道撕裂伤、宫缩乏力 ;无孕产妇死亡 ,围生儿死亡率为 416 67‰。

ObjectiveTo discuss the indica tor,method and messurement of perinatal emergency hysterectomy.Methods Twelve cases of perinatal emergency hysterectomy were analyzed retrospec tively during 12 years.ResultsAmong the 12 cases,3 were total hysterectomy and 9 were partly hysterectomy.The indicator was blood loss(1500～3 000ml) after delivery.The cacuses in turn were placental abruption,adherent plac enta,amniotic fluid embolism,rupture of uterus,soft reproductive tract laceratio n and uterine atomy.No pregnant women died.The death rate of perinatal newborn w as 416.67‰.ConclusionPerinatal emergency hysterectomy is an e ffective way to save pregnant women's life in hard-to-control postpartum hemor rhage case.