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目的分析产科子宫切除的原因及探讨降低产科子宫切除发生率的措施。方法对我在外院进修2007～2011年行剖宫产术后子宫切除病例进行回顾性分析。结果产科子宫切除发生率的高低与产前预防保健、产时产后并发症的防治水平密切相关;必须正确掌握手术指征,适时实施手术;子宫切除发生率剖宫产高于阴道分娩。结论做好计划生育,减少妊娠及刮宫次数,防治产科的并发症、降低剖宫产率可减少产科子宫切除的发生。
Objective To analyze the causes of obstetric hysterectomy and to discuss the measures to reduce the incidence of obstetrical hysterectomy. Methods I retrospectively analyzed the cases of hysterectomy after cesarean section in our hospital from 2007 to 2011. Results The incidence of obstetric hysterectomy and prenatal care and health, postpartum postpartum complications prevention and control level is closely related; must be the correct surgical indications, timely implementation of surgery; the incidence of hysterectomy cesarean section than vaginal delivery. Conclusions Good family planning, reduce the number of pregnancy and curettage, prevention and treatment of obstetric complications, reduce the rate of cesarean section can reduce the incidence of obstetric hysterectomy.