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目的 分析产科急症子宫切除术发生率、手术指征、手术方式及并发症 ,探讨手术时机及降低其发生率的可能性。方法 对我院近 7年来所行产科急症子宫切除术 6 6例作回顾性分析。结果 发生率为 0 6 1% ,阴道分娩后与剖宫产后子宫切除发生率基本一致 ,胎盘因素、子宫破裂、DIC、子宫收缩乏力为手术主要指征 ,且所占比例相近。结论 一旦发生子宫出血在采取各种保守措施无效 ,患者生命受到威胁时 ,应果断切除子宫。手术方式应根据病情合理选择。作好围生期保健工作 ,提高产科工作质量 ,降低计划外妊娠率可有效降低子宫切除术发生率。
Objective To analyze the incidence of obstetric emergency hysterectomy, surgical indications, surgical methods and complications, to explore the timing of surgery and reduce the possibility of its occurrence. Methods A retrospective analysis was performed on 66 cases of obstetric emergent hysterectomy in our hospital in the past 7 years. The incidence rate was 0 6 1%. The incidence of hysterectomy after vaginal delivery was basically the same as that after cesarean section. Placenta factors, uterine rupture, DIC and uterine atony were the main indications for surgery, and the proportions were similar. Conclusion In the event of uterine bleeding in taking all kinds of conservative measures invalid, the patient’s life is threatened, the uterus should be decisively removed. Surgery should be based on the condition of a reasonable choice. Good perinatal care, improve the quality of obstetric work, reduce unplanned pregnancy rate can effectively reduce the incidence of hysterectomy.