急症子宫切除在孕产妇子宫出血中应用时机及价值的探讨

Opportunity and value of emergency hysterectomy in uterine hemorrhage of pregnant and maternal women

摘要: 目的:探讨急症子宫切除术在孕产妇异常子宫出血中的应用时机、价值以及降低产科子宫切除的可能预防措施。方法:对因子宫异常出血致急症子宫切除30例孕产妇子宫切除时机及相关因素进行回顾性分析。结果:30例子宫切除患者29例治愈,1例死亡。孕期、产时子宫切除原因主要为胎盘因素,而产后主要为感染因素。结论:孕产妇急症子宫切除对不能控制的子宫出血是行之有效的措施,但应把握手术时机。

Abstract: Objective: To investigate the causes and nesssesity of emergency hysterectomy in abnormal uterine hemorrhage of the pregnant and maternal woman and to seek the possible preventive measures for the incidence.Methods: A retrospective analysis was conducted in 30 cases of emergency hysterectomy.Results: Among the 30 cases,29 were cured and 1 died.The main cause of hysterectomy during pregnant period was placental factors;whereas it was infection factors during postpartum period.Conclusions: Hysterectomy is an effective procedure for abnormal uterine hemorrhage,but the time of operation should be considered.