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急症产科子宫切除治疗产科出血23例分析
Hysterectomy for obstetrical bleeding:analysis of 23 cases.
【摘要】 目的分析产科急症子宫切除的原因、价值、预防措施,降低急症产科子宫切除的可能性。方法对我院产科近11年间所做的急症产科子宫切除术作回顾性分析。结果急症产科子宫切除术发生率为0.27%,剖宫产子宫切除率为1.00%,阴道分娩子宫切除率为0.05%。首位原因为是胎盘因素(43.48%),其次为子宫收缩乏力(30.43%),子宫破裂居第三(13.04%)。结论胎盘因素及子宫收缩乏力是产科急症子宫切除的主要原因。产科急症子宫切除在挽救某些危重产科大出血患者的生命中起到关键作用。加强孕期保健和计划生育,提高产科质量,可以有效地降低急症产科子宫切除率。
【Abstract】 Objective:To analyse the indications,clinical value and preventive measures of obstetrical emergency hysterectomy,to reduce the possible of obstetrical emergency hysterectomy.Methods: We have made a retrospective analysis about the obstetrical emergency hysterectomy of our hospital for nearly eleven years.Results: The incidence of obstetrical emergency hysterectomy was about 0.27%.The first indication of the operation was placental disorder(43.48%),the second was uterine atony(30.43%),the third was uterine rupture(13.04%).Conclusion: Placental disorder and uterine atony were the main indications of emergency hysterectomy.Obstetrical emergency hysterectomy play a key part of saving procedure for patients with obstetrical hemorrhage.It is advised to improve pregnancy health protection and to advocate family planning can efficiently reduce the incidence of obstetrical emergency hysterectomy.
- 【文献出处】 中国优生与遗传杂志 ,Chinese Journal of Birth Health & Heredity , 编辑部邮箱 ,2006年S1期
- 【分类号】R719
- 【被引频次】11
- 【下载频次】44