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目的:子宫次全切术与子宫全切术在产后大出血中的治疗应用。方法:选择2009年2月~2012年5月我院收治的产后大出血患者40例,其中25例行子宫次全切术,15例行子宫全切术。结果:子宫次全切术组止血成功23例(92.0%),子宫全切术组止血成功14例(93.3%),2组对比差异无统计学意义(P>0.05)。子宫次全切术组的手术时间、术后下床活动时间和术后住院天数都明显少于子宫全切术组(P<0.05)。结论:子宫切除可以有效控制产后大出血,而子宫次全切术更加有利于术后恢复,可保留子宫及生育能力。
Objective: Hysterectomy and hysterectomy in the treatment of postpartum hemorrhage. Methods: Forty cases of postpartum hemorrhage admitted to our hospital from February 2009 to May 2012 were selected, of which 25 cases underwent subtotal hysterectomy and 15 cases underwent hysterectomy. Results: Totally 23 cases (92.0%) succeeded in hysterectomy and 14 cases (93.3%) succeeded in hysterectomy. There was no significant difference between the two groups (P> 0.05). Hysterectomy group operation time, postoperative ambulation time and postoperative hospitalization days were significantly less than the hysterectomy group (P <0.05). Conclusion: Hysterectomy can effectively control postpartum hemorrhage, and subtotal hysterectomy is more conducive to postoperative recovery, can retain the uterus and fertility.