产科临床中的子宫切除术

目的 分析比较选择性与急症子宫切除术在产科中的应用。方法 回顾性分析30年间36例行产科子宫切除术的病例。结果 33207例产妇中有26例实施了产科急症子宫切除术，10例实施了选择性子宫切除术，胎盘因素是产科急症子宫切除术的主要指征，产科子宫切除术患者的围生儿病死率为179.5‰。结论 子宫切除术是一项抢救产科急诊危重出血患者生命的重要措施，对于产前合并妇科良性或恶性肿瘤及有异常子宫出血的产妇亦为安全有效的治疗手段。

Hysterectomy in obstetric problems

Objective To compare and analyse the elective and emergency hysterectomies in obstetric practice. Meth ods A retrospective study was performed to compare elective versus emergency cesarean hysterectomies in PUMC Hos pital from January 1969 to December 1998.Results Obstetric hysterectomies were performed on 36 patients over 30 years out of 33207 deliveries. 26 emergency cesarean hysterectomies and 10 elective hysterectomies had been done. Pla cental disorder was the main indication of emergency hysterectomy. The perinatal mortality of newborn was 179.5‰. Conclusion Obstetric hysterectomy has been proved to be one of the most useful life- saving procedure for patients with postpartum hemorrhage, especially at the time of cesarean section, particularly for patients with a history of benign or malignant gynecologic tumor or irregular vaginal bleeding before pregnancy.