[克罗地亚五家医院十六年间围产期子宫切除术的发生率]
[THE INCIDENCE OF PERIPARTUM HYSTERECTOMY IN FIVE CROATIAN HOSPITALS DURING A SIXTEEN-YEAR PERIOD].
作者信息
Haller Herman, Dugandžić Vedrana Hardi, Krištofić Ines, Gačanin Lana Glavan, Vukčević Indira, Milčić Hermina, Prka Matija, Paljušaj Edmond, Drageljević Ksenija, Štajcer Zeljko, Habek Dubravko, Belci Dragan, Petrović Oleg, Kolak Nikola, Mišković Berivoj, Zoričić Davor
出版信息
Lijec Vjesn. 2015 Jul-Aug;137(7-8):223-8.
INTRODUCTION
Peripartal hysterectomy (PPH) is a life saving surgical procedure that is performed when conservative measures fail to control bleeding. According to literature data there is an increase in incidence among developed countries.
AIM
To define the rate of PPH during two eight-year periods in five Croatian hospitals in respect to mode of delivery.
METHODS
Patients data were collected retrospectively from the medical records of the five Croatian hospitals. We analyzed data from 1998 to 2013, and divided them in two eight-year periods.
RESULTS
In 70 cases out of 153,302 deliveries urgent PPH was performed. PPH after vaginal deliveries was found in 0.21%o and 0.16%o and PPH after caesarean section was 1.91 %o and 2.04%o in the first and second period, respectively.
DISCUSSION AND CONCLUSION
There is no increase of PPH rate in the two analyzed periods, although there is a statistically significant increase of caesarean section rate. Caesarean section presents higher risk for PPH.
引言
围产期子宫切除术（PPH）是一种挽救生命的外科手术，当保守措施无法控制出血时进行。根据文献数据，发达国家的发病率有所上升。
目的
确定克罗地亚五家医院在两个八年期间围产期子宫切除术的发生率与分娩方式的关系。
方法
回顾性收集克罗地亚五家医院的病历中的患者数据。我们分析了1998年至2013年的数据，并将其分为两个八年期。
结果
在153302例分娩中，有70例进行了紧急围产期子宫切除术。阴道分娩后围产期子宫切除术的发生率在第一个时期为0.21‰，在第二个时期为0.16‰；剖宫产术后围产期子宫切除术的发生率在第一个时期为1.91‰，在第二个时期为2.04‰。
讨论与结论
在分析的两个时期中，围产期子宫切除术的发生率没有增加，尽管剖宫产率有统计学上的显著增加。剖宫产是围产期子宫切除术的更高风险因素。
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