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目的探讨急症子宫切除术在妇产科临床的应用价值。方法选取我院2012年6月至2015年6月间,前来我院妇产科生产的因急症实施子宫切除术的20例患者的临床资料并回顾性进行分析。对患着治疗后的临床治疗效果进行分析总结。结果在本研究所回顾分析的资料中,对8例患者患者实施了全子宫切除术,对12例患者实施了次子宫切除术。患者的手术时间为76min~175min,平均手术时间为(110.5±15)min;患者的出血量为1000~2000ml,平均出血量为(1652±25)ml;患者术后住院时间为7.4~16.2d,平均住院时间为(9.3±12)d。7例(35.0%)患者行子宫切除术的指征为胎盘前置,5例(25.0%)患者行子宫切除术的指征为子宫收缩乏力,3例(15.0%)患者行子宫切除术的指征为胎盘早剥;其他指征5例。患者术后效果良好,无死亡情况。结论产妇产后出现大出血情况时行子宫切除术最为有效的临床手段,对挽救患者生命的具有重要意义,并且利于患者术后恢复,便于患者术后保持身心健康状态。
Objective To investigate the clinical value of emergency hysterectomy in obstetrics and gynecology. Methods The clinical data of 20 patients who underwent hysterectomy in our hospital from June 2012 to June 2015 were retrospectively analyzed. After suffering from the treatment of clinical treatment effect analysis and summary. Results In a retrospective analysis of this study, hysterectomy was performed in 8 patients and sub-hysterectomy in 12 patients. The average operation time was (110.5 ± 15) min. The patient’s bleeding volume was 1000-2000ml, and the average bleeding volume was (1652 ± 25) ml. The postoperative hospital stay was 7.4-16.2 days , The average hospital stay was (9.3 ± 12) d. Seven patients (35.0%) underwent hysterectomy for placenta previa. Five patients (25.0%) underwent hysterectomy for uterine atresia and three patients (15.0%) underwent hysterectomy Indications for placental abruption; other indications in 5 cases. The patient has a good postoperative effect and no death. Conclusion The maternal hysterectomy is the most effective clinical tool in the case of major bleeding after delivery. It is of great significance to save the lives of patients and is conducive to the recovery of patients after surgery to facilitate the patients to maintain their physical and mental health after surgery.