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目的 探讨产科子宫切除的相关危险因素及降低其发生率的可能性。方法 对因产科因素行子宫切除术的 16例患者的临床资料进行回顾性分析。结果 前置胎盘、植入性胎盘、胎盘早剥等是产科子宫切除的首要原因。本组资料中产科子宫切除发生率 0 .7117‰ ,其中剖宫产子宫切除占 87.5 % ;剖宫产子宫切除发生率为 2 .6 72 0‰ ,是阴道分娩的 36 .8倍。结论 多次孕产、刮宫及剖宫产系产科子宫切除的高危因素。次全子宫切除是制止产科不可控制大出血的有效救治手段 ,把握手术时机是抢救成功的关键。
Objective To investigate the related risk factors of obstetric hysterectomy and its possibility of reducing its incidence. Methods The clinical data of 16 patients undergoing hysterectomy due to obstetric factors were analyzed retrospectively. Results The placenta previa, placenta accreta, placental abruption and other obstetric hysterectomy is the primary reason. The incidence of obstetrics and gynecology hysterectomy in this group of information 0 .7117 ‰, of which 87.5% cesarean section hysterectomy; cesarean section hysterectomy incidence of 2. 6 72 0 ‰, 36.8 times vaginal delivery. Conclusions Multiple pregnancy, curettage and caesarean section are the risk factors of obstetric hysterectomy. Subtotal hysterectomy is to stop obstetric uncontrollable bleeding is an effective means of treatment, to grasp the timing of the operation is the key to the success of the rescue.