探讨紧急子宫切除在难治性产后出血中的应用

目的探讨紧急子宫切除在难治性产后出血中的近期疗效。方法将在江苏省徐州市丰县人民医院妇产科接受治疗的46例难治性产后出血的患者纳入该研究，按治疗方法的不同将46例患者分为两组。对照组患者进行宫腔塞纱止血治疗，实验组患者进行紧急子宫切除术。分析两组患者出血原因，对比两组患者治疗后的情况。结果两组患者经治疗后，实验组输血量（1651．33±45．24）mL明显低于对照组输血量（2312．21±58．38）mL，t=42．91，P〈0．05。实验组的抢救成功率（100％）明显高于对照组的成功率（60．87％），χ2=11．19，P〈0．05。结论对难治性产后出血的患者进行紧急子宫切除，可作为紧急救治的方法．能成功抢救患者生命，但子宫切除对患者的伤害较大，应对患者进行全面检查后视情况再进行子宫切除术。

Application of emergency hysterectomy in intractable postpartum hemorrhage

Objective To explore the short-term clinical value of emergency hysterectomy in treatment of intractable postpartum hemorrhage. Methods Forty-six cases with intractable postpartum hemorrhage admitted in Fengxian County People＇ s Hospital were taken into study, and were divided into two groups according to different treatment methods. The control group was treated with intrauterine gauze packing, while the experimental group underwent emergency hysterectomy. The causes of hemorrhage of two groups were analyzed and the curative effects were compared. Results After treatment, the blood transfusion of the experimental group （1 651.33 ±45.24 mL） was significantly lower than that of the control group （2 312.21 ± 58. 38 mL） （ t = 42.91, P 〈 0.05 ）. The rescue success rate of the experimental group （ 100% ） was significantly higher than the control group （60. 87% ） （χ2 = 11. 19, P 〈 0. 05 ）. Conclusion The emergency hysterectomy can be used as an emergent treatment for patients with intractable postpartum hemorrhage, but it should be given after comprehensive inspection because of its great hurt to patients.