产科急症子宫切除术15例临床分析  

Clinical Analysis of 15 Cases with Hysterectomy in Obstetrical Emergency in the Department of Obstetrics

作　　者：李艳 

机构地区：[1]云南省普洱市人民医院妇产科,云南普洱665000

出　　处：《中外医疗》2017年第19期59-60,63,共3页China & Foreign Medical Treatment

摘　　要：目的对15例产科急症子宫切除术进行临床分析。方法方便选取对2012年1月—2016年6月该院收治的的15例产科急症子宫切除术患者的临床资料进行回顾性分析。分析其手术指征,并分析产科急症因素子宫切除的临床资料。结果胎盘因素共计7例,其中初产妇2例(13.34%),经产妇5例(33.34%);子宫收缩乏力共3例,其中初产妇2例(13.34%),经产妇1例(6.67%);子宫破裂共3例,其中初产妇1例(6.67%),经产妇2例(13.34%);凝血功能障碍共2例,其中初产妇2例(13.34%),无经产妇病例。由胎盘因素、子宫收缩乏力、子宫破裂引起的产妇出血,初产妇和经产妇比较差异有统计学意义(P<0.05),由凝血功能障碍引起的产妇出血,初产妇和经产妇比较差异无统计学意义(P>0.05)。结论产妇产后会有许多因素会导致产科急症,致使产妇子宫切除。但产科急症子宫切除术也是是抢救产妇产后大出血,挽救产妇生命的一项重要措施。因此,尽可能地加强宣传计划生育和普及围生期的保健知识可降低子宫切除的发生率,也是防治的一项重要举措。Objective To analyze the 15 cases with hysterectomy in obstetrical emergency in the department of obstetrics.Methods Convenient selection the clinical data of patients with hysterectomy in obstetrical emergency in the department of obstetrics from January 2012 to June 2016 were reviewed and the operation signs were analyzed and the clinical data of hysterectomy in obstetrical emergency in the department of obstetrics were analyzed. Results There were 7 cases with placenta factors, including 2 cases of primipara(13.34%), 5 cases of pluripara(33.34%), and 3 cases were with uterine inertia, including 2 cases of primipara(13.34%) and 1 case of pluripara(6.67%), and 3 cases were with hysterorrhexis, including 1 case of primipara(6.67%) and 2 cases of pluripara(13.34%), and 2 cases were with coagulation disorders, including2 cases of primipara(13.34%)and no pluripara, and the difference in the bleeding caused by the placenta factor, uterine inertia and hysterorrhexis between the primipara and pluripara was obvious with statistical significance(P<0.05), and the difference in the bleeding caused by the coagulation disorders between the primipara and pluripara was not obvious without statistical significance(P>0.05). Conclusion There are many factors causing the obstetric emergencies after delivery, and the hysterectomy is an important measure of rescuing the postpartum hemorrhage and saving the lives of delivery women,therefore, we should try to enhance the publicity of family planning and popularizing the healthcare knowledge during the perioperative period in order to reduce the incidence rate of hysterectomy.

关 键 词：子宫切除术 并发症 产后出血 临床分析 

分 类 号：R719[医药卫生—妇产科学]