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产科急症子宫切除32例临床相关危险因素分析
引用本文:陆华. 产科急症子宫切除32例临床相关危险因素分析[J]. 中国现代医生, 2012, 50(16): 142+144-142,144
作者姓名:陆华
作者单位:广西壮族自治区凌云县人民医院妇产科,广西凌云,533100
摘    要:目的探讨产科急症子宫切除的相关危险因素,分析降低子宫切除发生率的有效方法及临床应用效果。方法回顾性分析我院2006年1月-2011年12月间由于产科急症进行子宫切除的32例患者的临床资料,将其年龄、孕周、分娩方式、产前检查情况、流产次数、分娩次数等,利用单因素分析方法与产科急症子宫切除进行相关性分析。结果除孕周与子宫切除术无明显关系外,产妇的年龄、分娩方式、流产史和分娩次数均与产科急症子宫切除术有明显关系(P〈0.05)。结论多次孕产和清官术是产科急症子宫切除的高危因素,尽可能地加强计划生育的宣传和围生期保健知识的普及能够有效降低产科急症子宫切除的发生率。同时应明确,子宫切除术是抢救产科重症大出血的有效措施。

关 键 词:产科急症  子宫切除  危险因素

Clinical analysis of 32 cases for the risk factors of the obstetrical hysterectomy
LU Hua. Clinical analysis of 32 cases for the risk factors of the obstetrical hysterectomy[J]. , 2012, 50(16): 142+144-142,144
Authors:LU Hua
Affiliation:LU Hua Department of Obstetrics and Gynecology,the People’s Hospital of Lingyun County in Guangxi Zhuang Autonomous Region,Lingyun 533100,China
Abstract:Objective To analyze 32 cases for the risk factors of the obstetrical hysterectomy and the way to reduce the incidence of it.Methods Thirty-two cases who received the obstetrical hysterectomy were analyzed retrospectively.Results The age of the maternal,delivery way,the abortion history and childbirth have the obvious relationship with obstetrical hysterectomy(P < 0.05).Conclusion Reapeatly pregnancy and delivery and scraping palace were the high risk factors for obstetrical hysterectomy.Strengthen the knowledge of perinatal care as much as possible can help reducing the rate of obstetrical hysterectomy.At the same time,we cannot deny that obstetrical hysterectomy is the safe and effective treatment for the obstetric severe haemorrhage.
Keywords:Obstetrical hysterectomy  Obstetric emergencies  Risk factor
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