摘要
目的探讨产科急症子宫切除的指征、治疗及转归情况。方法对本院2005～2012年产科急症子宫切除的38例患者的临床资料进行回顾性分析。结果导致患者进行子宫切除的指征有胎盘因素、子宫收缩乏力、子宫破裂、子宫切口感染、多发性子宫肌瘤、羊水栓塞、子宫内翻、产后出血和死胎引起的弥散性血管内凝血。其中,胎盘因素所占比例最高(44.7%),其次为子宫收缩乏力(21.1%)。产妇的治愈好转率为94.7%,围生儿存活率为80.9%。术后并发症发生率为100%。结论导致产妇最终进行急症子宫切除的原因较多,应针对各种指征加强预防保健措施。
Objective To study the indications,treatments and outcomes of obstetrical emergency hysterectomy.Methods Clinical data of 38 patients with obstetrical emergency hysterectomy from 2005 to 2012 were analyzed.Results Indications of obstetrical emergency hysterectomy were placenta factors,fatigue of uterine contractions,rupture of uterus,infection of uterine incision,multiple uterine fibroids,amniotic fluid embolism,inversion of uterus,postpartum hemorrhage and DIC caused by stillbirth.Among them,placenta factors were most (accounted for 44.7%),followed by uterine contractions fatigue (21.1%).Cure and improvement rate of maternal was 94.7%; perinatal survival rate was 80.9%.Incidence of postoperative complications was 100%.Conclusion There are many reasons that caused emergency hysterectomy.We should strengthen preventive care measures according to various indications.
出处
《中国当代医药》
2013年第24期51-52,共2页
China Modern Medicine
关键词
产科
子宫切除
指征
转归
Obstetrics
Hysterectomy
Indications
Outcome
