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目的探讨急症子宫切除术在抢救产科大出血中的应用价值及降低产科子宫切除率的可能性。方法对2007～2010年我院16例因产后出血行子宫切除术患者的临床资料进行回顾性分析。结果产后出血致子宫切除的发生率为0.06%,子宫切除的主要指征为胎盘因素、宫缩乏力。相关因素分析显示,孕产次、再次剖宫产、巨大儿、多胎妊娠、分娩方式等因素与产科急症子宫切除密切相关。结论产科急症子宫切除术是抢救急性产科大出血的有效措施之一。做好计划生育及孕期管理,正确掌握剖宫产指征,有望降低产科子宫切除术的发生率。
Objective To investigate the value of emergency hysterectomy in the rescue of obstetric hemorrhage and reduce the possibility of obstetric hysterectomy. Methods The clinical data of 16 patients who underwent hysterectomy in our hospital from 2007 to 2010 were analyzed retrospectively. Results The incidence of hysterectomy caused by postpartum hemorrhage was 0.06%. The main indications for hysterectomy were placenta and uterine atony. Correlation analysis showed that pregnancy and childbirth, cesarean section again, macrosomia, multiple pregnancy, mode of delivery and other factors closely related to obstetric emergency hysterectomy. Conclusion Obstetric emergency hysterectomy is one of the effective measures to rescue acute obstetric hemorrhage. Do a good job in family planning and pregnancy management, correct grasp of cesarean indications, is expected to reduce the incidence of hysteroscopic surgery.