产科子宫切除术：一种挽救生命的急症。
Obstetric hysterectomy: a life saving emergency.
作者信息
Nooren Mirza, Nawal Rajani
机构信息
Department of Obstetrics and Gynaecology, Mahila Chikitsalaya, S.M.S. Medical College, Jaipur, Rajasthan, India.
出版信息
Indian J Med Sci. 2013 May-Jun;67(5-6):99-102.
OBJECTIVE
To study the cases of obstetric hysterectomy performed over a period of 1 year (January 2008 to December 2008) in tertiary care center to estimate the incidence, indications, and maternal outcome following the procedure.
MATERIALS AND METHODS
A retrospective analysis of 20 cases of emergency obstetric hysterectomies performed during the study period.
RESULTS
During the study period, there were 11,356 deliveries and 20 emergency hysterectomies were done, giving an incidence of 0.17%. 75% cases were unbooked. Ruptured uterus was the most common indication for the procedure, followed by atonic Post-partum haemorrhage (PPH). Six out of 10 cases of rupture uterus had a previous cesarean delivery. Maternal mortality was 15% due to late referral.
CONCLUSION
Emergency obstetric hysterectomy though a rare operation, still remains a life-saving procedure with which every obstetrician must be conversant. Regular antenatal care, identification of high-risk cases, and prompt referral can reduce the incidence of this operation.
目的
研究三级医疗中心在1年期间（2008年1月至2008年12月）实施产科子宫切除术的病例，以评估该手术后的发生率、指征及产妇结局。
材料与方法
对研究期间实施的20例急诊产科子宫切除术进行回顾性分析。
结果
在研究期间，共有11356例分娩，实施了20例急诊子宫切除术，发生率为0.17%。75%的病例未登记。子宫破裂是该手术最常见的指征，其次是宫缩乏力性产后出血（PPH）。10例子宫破裂病例中有6例曾行剖宫产。因转诊延迟，产妇死亡率为15%。
结论
急诊产科子宫切除术虽是一种罕见手术，但仍是一种挽救生命的手术，每位产科医生都必须熟悉。定期产前检查、识别高危病例及及时转诊可降低该手术的发生率。
Zotero 插件