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研究背景］对剖宫产术并子宫切除术的发生原因及如何降低其发生率进行讨论．［病例报告］剖宫产术并子宫切除术２８例，发生率为０１３％，占同期剖宫产术的０７３％．２８例剖宫产术并子宫切除术指征：子宫破裂居第１位，共１２例，其中头盆不称８例、忽略性横位２例、疤痕子宫破裂２例；胎盘因素居第２位，共５例，其中胎盘植入２例、胎盘早剥３例；子宫肌瘤居第３位，共４例；其次为宫缩乏力、晚期出血等．２８例中子宫全切除６例，子宫次全切除２２例．剖宫产术中新生儿存活１３例，宫内死胎、死产及新生儿死亡１５例．１例产妇死亡．［病例讨论］认为多胎、多育、医疗水平差是子宫破裂、胎盘植入的主要因素，要降低剖宫产术并子宫切除术的发生率，必须做好计划生育工作，少生、少育，提高产科医疗技术，尽量减少胎盘早剥及子宫破裂的发生
Research background] cesarean section and the causes of hysterectomy and how to reduce its incidence are discussed. [Case Report] Cesarean section and hysterectomy in 28 cases, the incidence was 0 13%, accounting for 0 73% of cesarean section over the same period. 28 cases of cesarean section and hysterectomy indications: first rupture of uterine rupture, a total of 12 cases, including 8 cases of cephalopelvic ignorance in 2 cases, 2 cases of scar rupture; placenta factor ranked 2 Bit, a total of 5 cases, of which 2 cases of placenta accreta, 3 cases of placental abruption; uterine fibroids in the first 3, a total of 4 cases; followed by uterine inertia, advanced bleeding and so on. 28 cases of hysterectomy in 6 cases, subtotal hysterectomy in 22 cases. Neonatal survival in cesarean section in 13 cases, intrauterine fetal death, stillbirth and neonatal death in 15 cases. 1 maternal death. [Case discussion] that multiple births, multiple births, poor medical standards of uterine rupture, placenta accreta factor, to reduce the incidence of cesarean section and hysterectomy, must do a good job in family planning, fewer students, fewer children , Improve obstetric medical technology, try to reduce the occurrence of placental abruption and uterine rupture