论文部分内容阅读
目的探讨围产期急症子宫切除术的指征、相关因素、手术时机及方式、母婴预后及预防措施。方法回顾性分析18例围产期急症子宫切除术患者临床资料,并与未行围产期急症子宫切除术82例进行对照。结果胎盘异常黏附是急症子宫切除术主要指征。急症子宫切除患者年龄、孕次、产次、出血量、输血量、住院天数高于对照组,孕周、新生儿体质量低于对照组(P<0.05)。剖宫产是急症子宫切除术高危因素之一。结论子宫切除是治疗围产期急性子宫出血、抢救孕产妇生命的有效措施。为降低急症子宫切除发生率,应做好计划生育工作、加强孕期保健、降低剖宫产率。
Objective To investigate the indications, related factors, timing and mode of operation, prognosis and preventive measures of perinatal emergency hysterectomy. Methods The clinical data of 18 cases of perinatal emergency hysterectomy were retrospectively analyzed and compared with 82 cases without perinatal emergency hysterectomy. Results Abnormal placenta accreta was the main indication of emergency hysterectomy. The age, pregnancy time, delivery time, blood loss, blood transfusion and hospital stay in emergency hysterectomy patients were higher than those in control group. The body weight of gestational weeks and neonates was lower than that of control group (P <0.05). Cesarean section is one of the risk factors for emergency hysterectomy. Conclusion Hysterectomy is an effective measure to treat acute uterine bleeding during perinatal period and rescue maternal life. To reduce the incidence of emergency hysterectomy, family planning should be done to strengthen the health care during pregnancy, reduce the rate of cesarean section.