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目的分析产科因素所致子宫切除术的发生率、手术指征、手术方式、分娩方式、原发病因、诱因及预防。方法对妇产科2008年11月—2013年11月产科因素所致子宫切除的14例临床资料进行回顾性分析。结果子宫切除率0.17%(14/8213)。胎盘因素50%(7/14),为子宫切除的主要原因,高于子宫破裂等其它产科因素所致的子宫切除率;剖宫产子宫切除率0.33%(12/3678),高于阴道分娩子宫切除率0.04%(2/4535)。结论胎盘因素为子宫切除主要因素,子宫切除术是抢救孕产妇重度出血和拯救孕产妇生命的一项重大措施。孕产前预防保健,产时正确处理,防治产科并发症,降低剖宫产率,可减少子宫切除的发生,提高产科质量。
Objective To analyze the incidence of hysterectomy caused by obstetric factors, surgical indications, surgical methods, mode of delivery, primary causes, causes and prevention. Methods The clinical data of 14 cases of obstetric-induced hysterectomy from November 2008 to November 2013 in obstetrics and gynecology were retrospectively analyzed. Results Hysterectomy rate was 0.17% (14/8213). 50% of the placenta (7/14), hysterectomy is the main reason, higher than other uterine rupture and other obstetric factors hysterectomy rate; cesarean section hysterectomy rate was 0.33% (12/3678), higher than vaginal delivery Hysterectomy rate of 0.04% (2/4535). Conclusion Placental factors are the main factors of hysterectomy. Hysterectomy is an important measure to rescue severe bleeding of pregnant women and save the lives of pregnant women. Prenatal care and health care, the correct production during childbirth, prevention and treatment of obstetric complications, reduce the rate of cesarean section, can reduce the incidence of hysterectomy, improve the quality of obstetrics.