Sturdee D W, Rushton D I
Br J Obstet Gynaecol. 1986 Mar;93(3):270-4. doi: 10.1111/j.1471-0528.1986.tb07906.x.
There have been 47 caesarean or post-partum hysterectomies over a period of 15 years at Birmingham Maternity Hospital, a frequency of 7 per 10 000 deliveries. In 12 patients the procedure was performed electively for a gynaecological or haematological disorder. In the remainder, emergency hysterectomy was necessary as a life saving measure, in most instances to overcome uncontrollable haemorrhage. The commonest cause of uncontrollable bleeding was a morbidly adherent placenta which occurred in 1 per 4348 pregnancies, and was associated with previous uterine surgery particularly if combined with placenta praevia. Such patients require the presence of an experienced obstetrician to make an early decision to operate and perform a technically demanding operation.
在伯明翰妇产医院的15年期间，共进行了47例剖宫产或产后子宫切除术，每10000例分娩中的发生率为7例。其中12例患者因妇科或血液系统疾病而择期进行该手术。其余患者则因挽救生命而有必要进行急诊子宫切除术，多数情况下是为了控制难以控制的出血。难以控制的出血最常见的原因是胎盘粘连严重，每4348例妊娠中发生1例，且与既往子宫手术有关，尤其是合并前置胎盘时。这类患者需要有经验的产科医生在场，以便尽早做出手术决定并实施技术要求较高的手术。
