产科急症子宫切除24例临床分析  

Emergency Peripartum Hysterectomy: 24 Cases Reports

作　　者：武海荣[1] 乔晓林[1] 孙凤群[1] 

机构地区：[1]中国航空工业中心医院,北京100012

出　　处：《中国计划生育学杂志》2004年第8期487-488,共2页Chinese Journal of Family Planning

摘　　要：目的:分析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,对本院1987年6月-2004年4月24例行产科子宫切除术的临床资料进行分析。结果:17年间在本院分娩的7 617例中,24例行急诊产科子宫切除术,发生率3.15％o,其中胎盘粘连11例(胎盘植入7例),胎盘早剥5例,子宫收缩乏力6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,且与人工流产及剖宫产有紧密联系;子宫次全切除术是治疗产科急性子宫出血,挽救产妇生命的一项重要措施和手段。Objective: To analyze the incidence, indication, risk factors and complications associated with emergency peripartum hysterectomy. Methods: A retrospective analysis was performed on 24 cases of emergency peripartum hysterectomy from June of 1987 to 2004. Results; There were 24 cases of emergency peripartum hysterectomy among 7,617 cases of deliveries during 17 years, accounting for 3.15‰. Among them, there were11 cases of placental adherence including 7 cases of placenta accrete and 5 cases of placenta abruption, 6 cases of inertia uteri and 2 cases of uterine rupture. Conclusion: The main indications of emergency peripartum hysterectomy were placental factors, which have a strong association with intrauterine curet tages and cesarean section. Subtotal hysterectomy is one of the effective methods of arresting severe postpartum hemorrhage.

关 键 词：产科急症 产科子宫切除术 急诊 并发症 发生率 治疗 回顾性 分娩 子宫破裂 手段 

分 类 号：R719[医药卫生—妇产科学]