摘要
目的:分析产科子宫切除术的原因及手术适应证,降低产科子宫切除术的可能性。方法:回顾性分析37例子宫切除术治疗产科出血病例资料。结果:产科子宫切除术占分娩总数0.58%,其中剖宫产子宫切除占剖宫产手术的0.28%,阴道分娩子宫切除占阴道分娩的0.017%,胎盘因素是子宫切除的首要原因。结论:产科子宫切除术是挽救产妇生命的有效措施,但要从严掌握手术指征,有前置胎盘、胎盘早剥等胎盘因素孕产妇应警惕产后子宫出血。降低剖宫产率有利于防止产后出血等产科并发症发生。
Objective：To analyze the causes and operation indications of obstetric hysterectomy, reduce the likelihood of obstetrical hysterectomy. Methods：37 cases of hysterectomy for the treatment of obstetric hemorrhage were retrospective analyzed. Results：The obstetric hysterectomy accounted for 0.58% of the total number of delivery, including cesarean hysterectomy accounted for 0.28% of caesarean operation, resection of uterine vaginal delivery accounted for 0.017%of vaginal delivery, placental factors was the primary cause of hysterectomy. Conclusion：Obstetric hysterectomy was an effective measure to save the life of the mother, but to strictly grasp the indications of operation, placenta previa, placental abruption placental factors should be wary of maternal postpartum uterine hemorrhage. Reduce the rate of cesarean section was beneficial to prevent the occurrence of postpartum hemorrhage and other complications.
出处
《中国医药导刊》
2014年第3期418-419,共2页
Chinese Journal of Medicinal Guide
关键词
子宫切除术
产科出血
剖宫产
Hysterectomy
Postpartum hemorrhage
Cesarean section
