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目的探讨产科子宫出血子宫切除术的原因及手术适应证。方法回顾性分析2000年8月至2011年8月90例产科子宫出血子宫切除术术后患者进行分析。结果 92例产科子宫出血子宫切除术的患者子宫收缩乏力19例(占20.65%),并发胎盘因素患者53例(占57.60%),子宫破裂大出血患者9例(占9.78%),妊娠合并子宫肌瘤患者11例(11.97%)。结论控制引起顽固性子宫出血因素,产前保健预防教育,其降低产前、产时(含剖宫产术中)及产后发生子宫大出血发生率。
Objective To investigate the causes of obstetric uterine bleeding and surgical indications. Methods A retrospective analysis of 90 patients who underwent hysterectomy in obstetric department from August 2000 to August 2011 was performed. Results Totally 92 patients (20.65%) had uterine atony and 53 patients (57.60%) had placental complication, 9 patients (9.78%) had uterine rupture bleeding, 92 patients with uterine bleeding during pregnancy, Tumor patients in 11 cases (11.97%). Conclusions Control causes intractable uterine bleeding and prenatal care prevention education, which reduces the incidence of uterine bleeding in prenatal period, during delivery (including cesarean section) and postpartum.