产科急症子宫切除16例临床分析

目的探讨急症子宫切除术在抢救产科大出血中的应用价值及降低产科子宫切除率的可能性。方法对2007～2010年我院16例因产后出血行子宫切除术患者的临床资料进行回顾性分析。结果产后出血致子宫切除的发生率为0.06%,子宫切除的主要指征为胎盘因素、宫缩乏力。相关因素分析显示,孕产次、再次剖宫产、巨大儿、多胎妊娠、分娩方式等因素与产科急症子宫切除密切相关。结论产科急症子宫切除术是抢救急性产科大出血的有效措施之一。做好计划生育及孕期管理,正确掌握剖宫产指征,有望降低产科子宫切除术的发生率。

Clinical analysis of 16 cases of emergency obstetrical hysterectomy

Objective To investigate the value of hysterectomy on arrestting severe postpartum hemorrhage and the possibility of decreasing the incidence of obstetric hysterectomy.Methods Sixteen cases of obstetrical hysterectomy from 2007 to 2010 in our hospital were analyzed retrospectively.Results The incidence of obstetrical hysterectomy due to severe postpartum hemorrhage was 0.06 %.The main indications of obstetrical hysterectomy were placenta factors and uterine atony.Hysterectomy was related to times of gestation and delivery,a once-more C-Section,macrosomia,multiple pregnancy and delivery pattern.Conclusion Hysterectomy is one of the effective methods on arrestting severe postpartum hemorrhage.Advocating family planning,improving pregnant monitoring and appropriately mastering the indication of C-Section can efficiently reduce the incidence of obstetrical hysterectomy.