产科急症子宫切除32例临床分析

目的分析产科子宫切除术的原因,探讨抢救产科出血的方法及降低产科子宫切除术的可能性。方法对我院产科5年间32例急症子宫切除病例进行回顾分析。结果产科急症子宫切除的指征是子宫大出血,其中胎盘因素是子宫切除的首要因素,占46.88%。结论产科子宫切除术是挽救产妇生命的有效措施,但需严格掌握手术指征;有胎盘异常如前置胎盘、胎盘早剥的产妇应高度警惕产后出血发生;降低剖宫产率有利于减少产后出血的发生。

Clinical analysis on 32 cases of acute hysterectomy

Objective To analyze the cause of the obstetrical hysterectomy,and study the methods of treatment of obstetrical bleeding and the passivity of decreasing the incidence of obstetrical hysterectomy.Methods Thirty-two cases of the obstetrical hysterectomy during five years were analyzed retrospectively.Results The Metrorrhagia was the indication of acute hysterectomy ,among which ovary was the main reason causing the hysterectomy for 46.88%.Conclusion Obstetrical hysterectomy has been proved to be the effective life-saving procedure, but the indication of operation should be mastered strictly; We should maintain vigilance for patients with placental factors such as placenta previa and abruption placenta.To decrease the incidence of cesarean section is beneficial to the prevention of the occurrence of obstetrical complication.