土耳其东部一所教学医院围生期子宫切除病例分析

来源 :世界核心医学期刊文摘(妇产科学分册) | 被引量 : 0次 | 上传用户:zhang19890922
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Objectives: The aim of this study was to find the incidence and clinical impli cations of peripartum hysterectomy in our hospital at the Eastern region of Anat olia. Study design: We analyzed retrospectively all cases of peripartum hysterec tomy performed at YYU Medical Faculty Hospital between January 1995 and April 20 03. Emergency peripartum hysterectomy was performed for hemorrhage which cannot be controlled with other conventional treatments within 24 h of a delivery. Ther e were 24 cases of emergency peripartum hysterectomy performed. Results: The inc idence of emergency peripartum hysterectomy was 5.09 per 1000 deliveries. Half o f the hysterectomies followed cesarean section. Eleven patients were referred to our clinics from other hospitals. Uterine atony (45.8%) was the most common in dication and placenta accreta (25.0%) was the second most common. Eighteen pati ents (75%) had subtotal hysterectomy. Bladder injury was seen in three cases. R e-exploration was performed in three cases (12.5%). Seventeen patients stayed in hospital over 7 days. There were four (16.7%) maternal deaths all of whom we re referred from other hospitals. Conclusion: The mortality and morbidity of per forming a peripartum hysterectomy is elevated, especially if performed in critic al patients referred from other hospitals. Objectives: The aim of this study was to find the incidence and clinical impli cations of peripartum hysterectomy in our hospital at the Eastern Region of Anat olia. Study design: We analyzed retrospectively all cases of peripartum hysterec tomy performed at YYU Medical Faculty Hospital between January 1995 and April 20 03. Emergency peripartum hysterectomy was performed for hemorrhage which can not be controlled with other conventional treatments within 24 h of a delivery. Ther e were 24 cases of emergency peripartum hysterectomy performed. Results: The inc idence of emergency peripartum hysterectomy was 5.09 half of the hysterectomies followed cesarean section. Eleven patients were referred to our clinics from other hospitals. Uterine atony (45.8%) was the most common in dication and placenta accreta (25.0%) was the second most common. e ents (75%) had subtotal hysterectomy. Bladder injury was seen in three cases. R e-exploration was performed in thre Seventeen patients stayed in hospital over 7 days. There were four (16.7%) maternal deaths all of whom we referred to other hospitals. Conclusion: The mortality and morbidity of per forming a peripartum hysterectomy is elevated, especially if performed in critic al patients referred from other hospitals.
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