10年间产科急症子宫切除指征的变迁.pdfVIP

院学创新研究 2008 年4 月第5 卷第12 期 MEDICIN配 INNOVATION RES览ARCH 毛仑 10 年间产科急症子宫切除指征的变迁 千余慈 沂水中心医院产科(山东 沂水276400) [中圈分类号]民713.4+2 [文献标识码lA [文章编号]1671-7821(2008)12-α泊5 -02 {摘要}阔的探讨近 10 年产科急症子宫切除指郁的变迁，采取早期千预措施，努力降低产科急痪子宫切除的可能性。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 纽)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%0; 后(日组)5 年产科急:11l子宫切除的指征为羊水检寨、任娘期特发性急性脂 肪肝、DIC ，其发生率为 0.12%0， 两组比较差异;王若。结论 采用子宫Jrz. 流暂时阻斯加子宫局部成流缩减术治疗产后tl:血能降低产科 急症子宫切除发生卒，保留子宫，提高产科质爱，胎盘因素及子tF 收缩乏力不再是产科子宫切除的指征。 【关键词]产科子宫切除指征变迁 The changes of obstetric emergency hysterectomy indicatio皿during ten years. Xu Hui. The Yishui central Jwspital obstetríc 仇 Shan­ dong pr例， Jince. Yishui 2764阳， China. [Abstra叫Objective To discuss the cha咿们，bstet加 eme.耶ncy hysterectomy indication in recent ten ye叫。附early i附rvention meωuresωreduce the possibiliti创 of obstetric emergency hysterectomy. Methods To review the infonnatíon of obstetric emergency hysterecto唰 my for nearly ten years admítted in my hospital. From January 2ω3 to December 2∞7 ,the patients with a dia胆。由is of postpartum hemoηhage were treated with the uterine blood flow temporarily blocking and reducing local. Compared with the former ( group A) and after (日) Section five annual emergency hysterectomy incidenc暗 ancl inclication晴 of change. Result 悦leob响tetric emergency hysterectomy indications for group A is the placenta factor , uterine inertia , uterine ruptur晤， the rate was 3.07%0; and group B is amniotic embolism , acute fatty liver of pre伊lancy ， DIC , the rate w剧 O. 12%0. Showing si伊ificant difference between the two groups. Conclusion Uterine blood flow temporarily block and reduce