产科子宫切除的相关因素分析

目的探讨降低产科子宫切除术及并发症发生的可能性.方法对我院近3年做产科子宫切除的孕产妇资料作回顾性分析.结果产科子宫切除发生率的高低与产前保健预防、产时产后的处理密切相关;宫缩乏力、胎盘因素、子宫破裂引起的失血性休克和DIC是产科急诊子宫切除的主要原因.结论做好孕产妇监测和计划生育,正确掌握剖宫产手术指征,对存在高危因素的产妇提高警惕做好抢救的相关准备,可以有效地降低产科子宫切除术发生率及并发症的发生.

The clinical analyze of 18 hysterectomy cases in the obstetrics

Objective To analyze how to reduce the incidence or complication of obstetrical hysterectomy. Methods Make a retrospoctive chart review study of the clinical datas of the cases that with obstetrical hysterectomy in the latest 3 years in our hospital. Results The incidence of obstetrical hysterectomy is correlative to the gestational health care and the treatment proposal in the parturition and postpartum. Bleeding shoke and DIC that arousing by uterine inertia, abnormal placenta or rupture of uterine is the main cause of emergency obstetrical hysterectomy. Conclusions Improve the gestational health care and family planning and correct the use of the caesarean operation in the obstetrics can reduce the incidence of the obstetrical hysterectomy. Alert to the high risk pregnancy end prepare well to the emergency therapy also can reduce the incidence of the obstetrical hysterectomy or the complication of it.