产科子宫切除相关危险因素分析  

Analysis the correlation risk factor of the hysterectomy that caused by the obstetric factors

作　　者：李芳[1] 曲广第[1] 

机构地区：[1]新疆医科大学第一附属医院爱婴病房,新疆乌鲁木齐830011

出　　处：《新疆医科大学学报》2008年第10期1401-1402,共2页Journal of Xinjiang Medical University

摘　　要：目的:探讨产科子宫切除的相关危险因素及降低其发生的可能性。方法:对因产科因素行子宫切除术24例患者的临床资料进行回顾性分析。结果:前置胎盘合并胎盘植入、子宫收缩乏力、子宫破裂及胎盘早剥合并子宫卒中等引起的产后出血是子宫切除的首要原因。子宫切除占同期孕产妇的1.73‰,其中剖宫产分娩子宫切除占87.5%,阴道分娩子宫切除占12.5%。结论:正确掌握剖宫产指征与剖宫产时机可降低因产科出血导致子宫切除的发生。子宫切除是治疗不可控制的产科出血和挽救孕产妇生命最直接有效的方法。Objective： To explore the correlation risk factors of the hysterectomia caused by the obstetric factors and the possibility to reduce its incidence rate. Method： Retrospective analysis of clinical data of 24 patiant which had done the hysterectomia that caused by the obstetric factors were done. Results： Placenta praevia complicating placenta implant, hypodynamia of uterine contraction, rupture of uterus, placental abruption complicating apoplexia uteri were the most important factors of the hysterectomy. In this group there are 21 by the caesarean section and 3 by the vaginal delivery,the total incidence rate is 1.73%, and the hysterectomy caused by the caesarean section accounted about 87.5% ; the incidence rate of the hysterectomy that caused by the vaginal delivery accounted about 12.5%. Conclusion： Subtotal hysterectomy is the effective method to restrict severe postpartum hemorrhage. Grasp the indication of the cesarean section is important.

关 键 词：子宫切除术 剖宫产术 产后出血 

分 类 号：R713.43[医药卫生—妇产科学]