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目的分析产科子宫切除相关因素及如何降低子宫切除的发生率。方法回顾性分析10年间41例产科子宫切除的临床资料。结果41例产科子宫切除术中29例为急症子宫切除,胎盘因素是导致急症子宫切除的主要因素,12例为选择性子宫切除。围生儿死亡率147‰。结论多次孕产、刮宫、剖宫产是产科急症子宫切除的高危因素,加强计划生育及围生期保健可有效降低产科子宫切除的发生。同时,在处理产科合并妇科良、恶性肿瘤及内科疾病方面,子宫切除仍是安全有效的治疗手段。
Objective To analyze the related factors of hysterectomy and how to reduce the incidence of hysterectomy. Methods A retrospective analysis of 41 cases of obstetric hysterectomy in 10 years clinical data. Results In the 41 cases of obstetric hysterectomy, 29 cases were emergency hysterectomy. Placental factors were the main factors leading to emergency hysterectomy and 12 cases were selective hysterectomy. Perinatal mortality was 147 ‰. Conclusions Multiple pregnancy, curettage and cesarean section are risk factors for obstetric emergency hysterectomy. Strengthening family planning and perinatal care can effectively reduce the occurrence of obstetric hysterectomy. At the same time, hysterectomy is still a safe and effective treatment for obstetrics and gynecology combined with benign and malignant tumors and medical diseases.