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目的孕产期子宫切除术是治疗孕产期子宫大出血的一项重要而危急抢救措施,但是子宫切除术对孕产妇身心造成严重伤害,探讨降低孕产期子宫切除术的方法。方法本文收集了1990年1月至2011年12月本院收治的26例孕产期子宫切除患者病例资料。回顾性分析子宫切除构成比,不同分娩方式子宫切除发生率,手术指征、手术时机、术式选择、手术效果。结果胎盘因素是子宫切除的首要原因,治疗上应严格掌握手术指征,把握最佳治疗时机,选择适当治疗方式。结论孕产期子宫切除术是治疗孕产期子宫出血的一项重要而有效的抢救措施,做好孕产妇保健和计划生育,积极治疗妊娠并发症,杜绝非法接生,提高产科工作质量,正确掌握剖宫产手术指征,提高剖宫产手术技巧,可以有效降低子宫切除率,提高妇女的生存质量。
Objective Maternity hysterectomy is an important and urgent emergency treatment for the treatment of uterine bleeding during pregnancy. However, hysterectomy causes serious injury to the mothers and mothers and reduces the chance of hysterectomy during pregnancy. Methods This article collected from January 1990 to December 2011 in our hospital treated 26 cases of hysterectomy in patients with hysteroscopic data. Retrospective analysis of the constituent ratio of hysterectomy, the incidence of hysterectomy in different modes of delivery, surgical indications, timing of surgery, surgical options, surgical results. Results The placenta factor is the primary reason for hysterectomy. The treatment should be strictly controlled by surgical indications, grasp the optimal timing of treatment, and select the appropriate treatment. Conclusions Maternal hysterectomy is an important and effective treatment for uterine bleeding during pregnancy and maternal pregnancy. Maternal and child health care and family planning programs are being done. Pregnancy complications are actively treated, and illegal delivery is prevented. The quality of obstetric work should be improved. Cesarean surgical indications and improve cesarean surgical techniques, can effectively reduce the hysterectomy rate and improve the quality of life of women.