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目的探讨降低产科子宫切除术及并发症发生的可能性。方法对本院产科2005年01月～2013年03月近9年间所做的产科子宫切除术13例的临床资料做了回顾性分析。结果产科子宫切除术的发生率为0.1585%,其中剖宫产子宫切除术占84.62%,产科子宫切除术的主要手术指征为胎盘因素、子宫收缩乏力。结论认为做好围生期保健和计划生育,正确掌握剖宫产手术指征,可以有效地降低产科子宫切除术发生率。
Objective To explore the possibility of reducing the incidence of obstetric hysterectomy and complications. Methods The clinical data of 13 cases of obstetrical hysterectomy performed in our hospital from January 2005 to March 2013 in the past 9 years were retrospectively analyzed. Results The incidence of obstetric hysterectomy was 0.1585%, of which 84.62% were cesarean hysterectomy. The main indications for obstetrical hysterectomy were placenta and uterine atony. Conclusions that proper perinatal care and family planning, accurate cesarean section indications, can effectively reduce the incidence of obstetric hysterectomy.