23例产科急症子宫切除临床分析

目的探讨产科急症子宫切除的指征、术式及分娩方式。方法回顾分析1996年2月～2004年2月间23例产科子宫切除病例。结果23例产科子宫切除，与产时产后并发症密切相关。其中胎盘因素占43.48％，剖宫产子宫切除发生率高于阴道分娩子宫切除。结论产科急症子宫切除术是治疗急性产科大出血的有效的措施。降低剖宫产率可减少产科急症子宫切除的发生。

Chinical Analysis on 23 Cases of Emergency Hysterectomy

Objective To investigate the indications, operation methods and delivery patterns of emergency hysterectomy. Methods A retrospective analysis was performed on 23 cases of hysterectomy by reason of postpartum hemorrhage between Feb 1996 and Feb 2004. Results All 23 the patients were severe postpartum hemorrhage. Among them 43.48% of patients were placental factors. The hysterectomy rate of cesarean section was higher than that of spontaneous delivery. Conclusion Emergency hysterectomy is one of the effective methods on arresting severe postpartum hemorrhage. To decrease the cesarean section rate can reduce emergency hysterectomy rate.