减少或避免产科急诊子宫切除的临床分析

目的探讨减少或避免产科急诊子宫切除的临床分析。方法回顾分析我院于2001年8月至2011年2月在分娩后因产后大出血行急诊子宫切除术产妇50例。结果随着出血量增加,胎盘因素的比例提高（P〈0.05）。结论产科子宫切除指的是经剖宫产或阴道分娩后出现无法控制的出血、严重宫腔感染、子宫切口裂开、生殖道肿瘤等行子宫切除,为了尽量避免或减少产科急诊子宫切除,医生应严格掌握手术适应证。

The Clinical Analysis of Reduce or Avoid the Emergency Obstetric Hysterectomy

Objective To explore the clinical analysis of reduce or avoid the emergency obstetric hysterectomy.Methods Retrospectively analyzed 30 maternal in August 2001 to February 2011,due to postpartum hemorrhage after delivery by emergency？hysterectomy.Results With the bleeding amount increased,the proportion of placental factors increased（P0.05）.Conclusion Obstetric hysterectomy refers to unable to control bleeding after cesarean section or vaginal delivery, severe intrauterine infection,uterine？incision dehiscence,and other reproductive tract tumors hysterectomy.In order to avoid or reduce emergency obstetric？hysterectomy,doctors should strictly controlled the surgical indications.