产科急症子宫切除32例临床分析

目的：探讨产科急症子宫切除的原因、手术指征和价值。方法：回顾性分析1993年1月至2007年6月间32例产科急症子宫切除病例的临床资料。结果：产科急症子宫切除的原因主要为胎盘因素、子宫破裂、子宫收缩乏力、晚期产后出血、羊水栓塞、产科DIC等。手术方式为子宫次全切除19例，子宫全切除13例。结论：产科急症子宫切除是治疗产科大出血，降低孕产妇死亡率的重要措施。

Clinical Analysis of 32 Cases of Hysterectomy in Obstetrical Emergencies

Objective:To investigate the cause, surgery indications and the value of hysterectomy in obstetrical emergencies. Methods:From January 1993 to June 2007,32 cases of hysterectomy in obstetrical emergencies were analyzed retrospectively. Results:Placental factors, uterine rupture, atony of uterus, late state postpartum hemorrhage, amnionic fluid embolism,obstetrical DIC etc were the cause of hysterectomy in obstetrical emergencies. Operations techniques were 19 cases of subtotal-hysterectomy and 13 cases of total hysterectomy. Conclusion:Hysterectomy in obstetrical emergencies is an important measure to treat postpartum hemorrhage, decrease obstetrical pregnant patient mortality.