难治性产后出血急症子宫切除术及相关因素分析  

A Study on Related Factors of Emergency Hysterectomy during Postpartum Hemorrhage of Refractoriness

作　　者：沈宇清[1] 陈敦金[2] 张春芳[2] 

机构地区：[1]广东省开平市中心医院,开平529000 [2]广州医学院第三附属医院,广州510150

出　　处：《中国医药导刊》2010年第6期936-937,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:对难治性产后出血中子宫切除术的相关因素进行探讨。方法:采用回顾资料分析方法,对2000年1月～2008年6月间因产后出血行子宫切除术68例患者的临床资料进行分析。结果:68例均为产后出血经保守治疗无效的患者,其中宫缩乏力31例,占45.59%;胎盘因素23例,占33.82%;子宫破裂7例,占10.29%;羊水栓塞6例,占g.82%,剖宫产术中阔韧带血肿1例,占1.47%。孕产次及产检情况与子宫切除术密切相关。结论:宫缩乏力是急症子宫切除的主要病因;做好孕期的监测、掌握子宫切除的手术指征及手术时机,可以有效降低产科子宫切除率,提高产妇生存质量。Obiective：To explore the factors related to hysterectomy during postpartum hemorrhage of refractoriness. Metheds：A retrospective study of 68 cases of emergency hysterectomy during Jan. 2000-Jun. 2008 were analyzed. Results：Of 68 cases of hysterectomy, 31 cases was uterine atony, account for 45.59%; 23 cases was placenta factors, accounted for 33.82%; 7 cases was uterine rupture, accounted for 10,29%; 6 cases was amnionic fluid embolism, accounted for 8.82%; 1 cases was hematoma of broad ligament during caesarean section, accounted for 1.47%. Hysterectomy was closely related to the times of pregnancy and delivery. Conclusion：Uterine atony is the main factor of emergency hysterectomy; monitoring during pregnancy, master the indictaton and opportunity of operation, could decrese the occurrence rate of hysterectomy and increase the life quality of puerperant.

关 键 词：子宫切除术 产后出血 相关因素 手术指征 手术时机 

分 类 号：R563.9[医药卫生—呼吸系统]