剖宫产子宫次全切术25例分析

目的分析子宫次全切术在剖宫产术(CS)中的应用。方法回顾分析10年间25例CS中行子宫次全切术病例的临床资料。结果10年间4618例CS患者中,有25例实施了子宫次全切术。产后出血、宫缩乏力和胎盘因素是子宫次全切术的主要手术指征。25例中围产儿病死率为1.2%。结论子宫次全切除术是抢救CS术中急诊危重出血患者生命的一项重要措施。

Analysis of 25 patients with subtotal hysterectomy in cesarean section

Objective To discuss application of subtotal hysterectomy in cesarean section(CS).Methods Clinical data of 25 patients performed with subtotal hysterectomy in CS were analyzed retrospectively. Results Out of 4618 patients with CS ,25 patients was performed subtotal hysterectomy in 25 patients from 4618 cases underwent CS. The major indicatio of subtotal hysterectomy were postpartum hemorrhage, uterine inertia and placental related factors. The perinatal mortality rate was 1.2%. Conclusion The subtotal hysterectomy is an important measure for salvage therapy of emergency severe hemorrhage in CS patients.