产科急症子宫切除手术指征分析

目的：探讨产科急症子宫切除术的发生率、手术指征、高危因素和并发症。方法：采用回顾性资料分析方法，对1987年6月到2003年12月间产科子宫切除术22例患者的临床资料进行分析。结果：22例均为经各种方法保守治疗无效的产科大出血患者，16年间住院分娩7008人，22例行急诊产科子宫切除术，发生率3．139％，其中胎盘粘连7例，胎盘早剥5例，前置胎盘3例，子宫收缩乏力5例，子宫破裂2例。结论：胎盘因素是产科急诊子宫切除术的主要指征，子宫次全切除术是治疗产科急性子宫出血，抢救产妇生命的一项重要措施和手段．

Study on the indications of emergency peripartum hysterectomy

Objective:To estimate the incidence, indication, risk factors, and complications associated with emergency peripartum hysterecromy at our hospital.Methods:A retrospective analysis was performed on 22 cases of emergency peripartum hysterecromy from 1987 to 2003.Results:There were 22 cases of emergency peripartum hysterecromy among deliveries for a rate of 3.139 per 1000.All the patiens were severe postpartum hemonjage that could not be controlled by conservative treatment. Among them, there were 7 cases of placental adherence, 5cases of placental abruption, 5 cases of uterine atony, 3 cases of placental previa and 2 cases of uterine rupture.Conclusion: The main indications of emergency peripartum hysterecromy were placental reasons. Subtotal hysterectomy is one of the effective mehtods on arresting severe postpartum hemorrhage.