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自从Storer及Porro分别在1866年及1876年完成剖宫产子宫切除术以来,它的手术指征几经变化,近20年对它的临床使用价值进行了很多的讨论,作为产科紧急情况下挽救生命的重要手段,它仍有其重要的地位。本文将我院五年来剖宫产子宫切除术做一回顾性分析。资料与方法本文报道1980年1月～1984年12月五年间,本院剖宫产术并于手术当日行子宫切除术者23例。手术的决定及施行均有主任或高年主治医师参加。 1.一般资料五年内分娩总数32823例,其中剖宫产术6409例,同时做子宫切除术者23例,占剖宫产术的0.36％,占分娩总数的0.07％。本组年龄最小26岁,最大39岁,平均30.5岁。最少孕次为1,最多5,平均1.8。平均产次为1.4次,初产妇占73.9％。平均分娩孕周36.95周。本组除1例死胎,一例新生儿死亡外,其余21例新生儿全部存活。 2.剖宫产子宫切除术指征 23例剖宫产子宫切除术指征见表1。
Since Storer and Porro completed cesarean hysterectomy in 1866 and 1876, respectively, the indications for the procedure have been changed. In the recent 20 years, much discussion has been made on the clinical value of cesarean as a lifesaver in obstetric emergencies It still has its important position. This article will be five years in our hospital cesarean section hysterectomy do a retrospective analysis. Materials and Methods This article reports from January 1980 to December 1984 five years, our hospital cesarean section and surgery on the day of hysterectomy in 23 cases. The decision of the operation and the implementation of the director or senior attending physician to participate. 1. General information The total number of deliveries within 5 years is 32823, of which 6409 are cesarean and 23 are hysterectomies, accounting for 0.36% of cesarean sections and 0.07% of total deliveries. The group is the youngest 26 years old, maximum 39 years old, average 30.5 years old. At least one second pregnancy, up to 5, an average of 1.8. The average birth time was 1.4 times, 73.9% of primipara. The average gestational age 36.95 weeks. In addition to 1 case of stillbirth, a newborn died, the remaining 21 cases of newborn all survived. 2. Cesarean section hysterectomy indications 23 cases of cesarean section hysterectomy indications in Table 1.