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目的:探讨产科子宫切除的相关因素及如何降低产科子宫切除率。方法:回顾性分析2005年1月~2007年12月间所做的产科子宫切除5例。结果:产后出血子宫切除的原因主要为胎盘因素、产褥感染、子宫破裂、子宫收缩乏力、DIC;剖宫产子宫切除发生率显著高于阴道分娩者。结论:子宫切除术是抢救产科大出血,挽救孕妇生命的一项重要而有效的措施,做好孕产妇监测和计划生育,提高产科技术水平,正确掌握剖宫产指征,可以有效地降低产科子宫切除发生率。
Objective: To investigate the related factors of obstetric hysterectomy and how to reduce the rate of hysterectomy. Methods: A retrospective analysis of 5 cases of obstetrical hysterectomy done between January 2005 and December 2007 was performed. Results: The main causes of postpartum hemorrhage hysterectomy were placenta, puerperal infection, uterine rupture, uterine atony and DIC. The incidence of cesarean hysterectomy was significantly higher than vaginal delivery. Conclusion: Hysterectomy is an important and effective measure to rescue obstetric hemorrhage and save the lives of pregnant women. Maternity monitoring and family planning should be done to improve the level of obstetrics and gynecology. Correctly grasp indications of cesarean section can effectively reduce the incidence of obstetrics and gynecology Excision rate.