摘要
目的探讨近10年产科急症子宫切除指征的变迁，采取早期干预措施，努力降低产科急症子宫切除的可能性。方法对我院近10年间产科急症子宫切除的资料作回顾性分析。自2003年1月-2007年12月采用子宫血流暂时阻断加子宫局部血流缩减术治疗产后出血。比较前（A组）、后（B组）5年产科急症子宫切除发生率及其指征的变化。结果前（A组）5年产科急症子宫切除指征为：胎盘因素、宫缩乏力、子宫破裂，其发生率为3．07‰；后（B组）5年产科急症子宫切除的指征为羊水栓塞、妊娠期特发性急性脂肪肝、DIC，其发生率为0．12‰，两组比较差异显著。结论采用子宫血流暂时阻断加子宫局部血流缩减术治疗产后出血能降低产科急症子宫切除发生率，保留子宫，提高产科质量，胎盘因素及子宫收缩乏力不再是产科子宫切除的指征。
Objective To discuss the change of obstetric emergency hysterectomy indication in recent ten years ,to take early intervention measures to reduce the possibilities of obstetric emergency hysterectomy. Methods To review the information of obstetric emergency hysterectomy for nearly ten years admitted in my hospital. From January 2003 to December 2007, the patients with a diagnosis of postpartum hemorrhage were treated with the uterine blood flow temporarily blocking and reducing local. Compared with the former （group A） and after （B） Section five annual emergency hysterectomy incidence and indications of change. Result The obstetric emergency hysterectomy indications for group A is the placenta factor, uterine inertia, uterine rupture, the rate was 3.07‰; and group B is amniotic embolism, acute fatty liver of pregnancy, DIC, the rate was 0.12‰Showing significant difference between the two groups. Conclusion Uterine blood flow temporarily block and reduce partial for the treatment postpartum hemorrhage can reduce emergency obstetric hysterectomy incidence, retain uterine and improve the quality of obstetric, placenta factor and uterine inertia is no longer the obstetric hysterectomy indications.
关键词
产科
子宫切除
指征
变迁
Obstetric Hysterectomy Indications Changes
