【摘要】 目的 :探讨与妊娠有关的子宫切除术 ,旨在降低其发生率 ,减少母婴损害。方法 :对我院建院 1989.1～ 2 0 0 0 .11间共收治的与妊娠有关的子宫切除术患者 2 3例的临床病理资料进行回顾性分析总结。结果 :剖宫产同时切除子宫的共 18例 ,占 18/ 2 4 4 80 (7.35 / 10万 ) ,同期收治外院晚期产后出血并切除子宫的患者共 5例 ,其中 1例死亡。剖宫产同时行子宫切除术的原因依次为 :中央性前置胎盘、胎盘植入、严重粘连、子宫收缩乏力及子宫破裂、妊娠合并多发性子宫肌瘤。晚期产后出血切除子宫者共 5例 ,均为外院转入 ,主要原因是剖宫产切口感染、裂开、DIC。结论 :1加强计划生育 ,重视孕期保健 ,严格掌握剖宫产指征 ,提高手术技巧、规范医疗市场是降低与妊娠有关子宫切除术的有效措施。 2作为高危孕妇选择性、有计划的在剖宫产同时切除子宫 ,不失为一种提高孕产妇生活质量 ,降低医疗成本的方法。更多还原

【Abstract】 Objective:To reduce the occurrence of HRP and the damage on mother and baby.Methods:To review 23 cases of HRP in our hospital in past 10 years.Results:18 cases of hysterectomy were completed soon after caesarean section(18/23).The reasons in turn were complete placenta previa,placenta iucreta,placenta adhersion,uterine dysfunction,uterine rupture and multimyoma of uterus complicated pregnancy.5 cases are the results of late puerperal hemorrahage,1 of 5 women died.The main reasons were infection,split of incision and DIC.Conclusion:(1)The effective steps to reduce HRP are to strengthen birth control,recognize health care of pregnant women,hold strictly the applicability of caesarean section,improve operative skill and norm the medical market.(2)Selected and planed HRP after caesarean section is a method of improving existent quality of high risk and depressing the medical fund.更多还原