探讨选择性与急症子宫切除术在产科临床中的应用.docVIP

　　探讨选择性与急症子宫切除术在产科临床中的应用 李雪梅 辽宁省锦州市中医院妇产科，辽宁锦州 121000 [摘要] 目的 探究选择性和进行子宫切除术在产科中的应用效果。方法 选取我院2011年1月—2013年1月收治的42例行产科子宫切除术的患者作为研究对象，按照患者行子宫切除术的类型分为选择性组和急症组，其中选择性组有28例患者，急症组有14例患者，对两组患者的应用效果进行分析。结果 两组产妇全子宫切除和次全子宫切除比例无差异（P＞0.05）。选择性组患者早产儿的发生率、新生儿的重度窒息率、新生儿死亡率明显高于急症组患者，两组之间的差异具有统计学意义（Plt;0.05）。其中选择性组早产儿比例14.3%，死亡率为10.7%，急症组早产儿比例为7.14%，死亡率为0；选择性组新生儿重度窒息率为10.7%，急症组为7.14%；选择性组新生儿的畸形率（3.6%）以及并发症发生率（3.6%）明显低于急症组患者的（分别为28.6%和35.7%），两组之间的差异具有统计意义（Plt;0.05）。结论 选择性和急症子宫切除术在临床应用的效果各有利弊，在实际的应用中应该根据患者的具体情况有选择的行子宫切除术，以降低不必要的负面影响。 [ .jyqkergency hysterectomy in the obstetric clinical application LI Xuemei Jinzhou City, liaoning province hospital of gynecology and obstetrics, Liaoning 121000 ,China [Abstract] Objective To explore the selective and application effect of hysterectomy in obstetrics. Methods Selection 42 treated from 2011 to 2013 in our routine obstetric hysterectomy patients as the research object, according to the patients of hysterectomy is classified into selective and emergency group, including selective group of 28 cases of patients, the emergency group of 14 patients, analyze the application effect of taternal proportion of total hysterectomy and total hysterectomy no difference (Pgt;0.05). The selective patients the incidence of preterm infants, neonatal severe asphyxia, neonatal mortality is significantly higher than the rate of emergency patients, the difference betong 14.3%, the death rate ong the emergency group is 7.14%, mortality ergency group is 7.14%; Selective set of neonatal malformation rate (3.6%) and plications (3.6%) ergency patients (28.6% and 35.7%, respectively), the difference betergency hysterectomy in the clinical application of each have advantages and disadvantages, in the actual application should according to the actual circumstances of the patients have to choose the hysterectomy, in order to reduce unnecessary negative effects. [Key y; Emergency hysterectomy; Application effect; parison and analysis 随着国家经济的发展和科学技术的提高，我国的医疗事业也开始得到了很大程度