产科子宫切除26例分析

目的探讨产科子宫切除的发生率、指征及降低产科子宫切除的可能性。方法回顾性分析1996年1月~2004年12月间所做的产科子宫切除26例。结果产科子宫切除的发生率为0.12%,其中剖宫产子宫切除发生率显著高于阴道分娩者。产科子宫切除的原因依次有胎盘因素(胎盘植入、胎盘早剥)、子宫破裂、宫缩乏力、羊水栓塞、妊娠合并肿瘤、阔韧带血肿。结论做好围产期保健工作,防治产科的严重并发症,降低剖宫产率可减少产科子宫切除的发生。

ANALYSIS OF 26 CASES OF OBSTETRICAL UTERECTOMY

Objective To study the accidence of obstetrical uterectomy, indication and the possibility to reduce obstetrical uterectomy. Methods A retrospective analysis of 26 cases of obstetrical uterectomy in our hospital from January 1996 to December 2004. Results The accidence of obstetrical uterectomy is 0.14%, It is significantly higher in cesarean than in vaginal delivery. The reasons of obstetrical uterectomy are in turn as follows: placental agent (placental implantation, placental abruption), uterine rupture, weakness of uterine contraction, amnionic fluid embolism, gestational tumor, broad ligament hematoma. Conclusion Try to do well in perinatal prevention, avoid severe obstetrical complication and reduce the rate of cesarean, those may decrease the occurrence of obstetrical uterectomy.