目的:分析孕产期子宫切除病因,探讨子宫切除术在治疗孕产期子宫出血中的意义。方法:回顾性分析医院收治的45例孕产期子宫切除病例。结果:不同年份致孕产期子宫切除原因构成比不同,胎盘因素占比重最大。剖宫产分娩并不能降低子宫切除发生率,使子宫切除发生率增高。临床医生应加强瘢痕子宫尤其是剖宫产术后宣教意识。结论:子宫切除术是挽救孕产期子宫出血孕产妇生命的有效措施。 Objective: To analyze the etiology of hysterectomy during pregnancy and to explore the significance of hysterectomy in the treatment of uterine bleeding during pregnancy. Methods: A retrospective analysis of 45 cases of hospitalized pregnant women hysterectomy cases. Results: The causes of hysterectomy in different years were different, and the proportion of placenta was the largest. Cesarean delivery and can not reduce the incidence of hysterectomy, so that the incidence of hysterectomy increased. Clinicians should strengthen awareness of the mission of the scar after uterine surgery, especially cesarean section. Conclusion: Hysterectomy is an effective measure to save maternal life in uterine bleeding during pregnancy.