摘要
目的分析产科子宫切除术的原因,探讨抢救产科出血的方法及降低产科子宫切除术的可能性。方法回顾性分析深圳市妇幼保健院产科近4年22例产科子宫切除病例。结果产科子宫切除术占分娩总数0.116%,其中剖宫产子宫切除占剖宫产手术的0.28%,阴道分娩子宫切除占阴道分娩的0.017%,胎盘因素是子宫切除的首要原因。结论①产科子宫切除术是挽救产妇生命的有效措施,但要从严掌握手术指征。②有前置胎盘、胎盘早剥等胎盘因素孕产妇应警惕产后子宫出血。③降低剖宫产率有利于防止产后出血等产科并发症发生。
Objective To analyze the cause of the obstetrical hysterectomy, and study the methods of treatment of obstetrical bleeding and the possibity of decreasing the incidence of obstetrical hysterectomy. Methods Twenty-two cases of obstetrical hysterectomy during four years were analyzed retrospectively. Results The incidence of obstetrical hysterectomy is about 0.116%. Cesarean hysterectomy accounts for 0.28% of cesarean section. Hysterectomy following vaginal delivery accounts for 0.017% of vaginal delivery. Placental factor is the primary indication of obstetrical hysterectomy. Conclusion 1. Obstetrical hysterectomy has been proved to be the effective life-saving procedure, but the indication of operation should he mastered strictly. 2. We should maintain vigilance for patients with placental factors such as placenta previa and abruptio placentae. 3. To decrease the incidence of cesarean section is beneficial to the prevention of the occurrence of obstetrical complication.
出处
《中国热带医学》
CAS
2005年第3期543-544,共2页
China Tropical Medicine
关键词
产科出血
产科
子宫切除术
剖宫产
子宫收缩
Obstetrical bleeding
Obstetrical hysterectomy: Cesarean section.
