Matuszewski W, Rzempoluch J, Cieślar G
I. Geburtshilflichen und Frauenklinik, Schlesischen Hochschule für Medizin Bytom.
Zentralbl Gynakol. 1987;109(15):956-61.
In this paper 19 cases of caesarean hysterectomy were analysed with regard to indications, choosing the method of operation, post-surgery procedure and management in cases of surgical complications. In period 1975-1985 in Ist Clinic of Obstetrics and Gynecology in Bytom we had 2,961 sections. Caesarean hysterectomy occurred in 0.07% of normal deliveries and in 0.64% of caesarean sections. The most frequent indication for caesarean section followed hysterectomy was placenta praevia (28%) and the most frequent indication for hysterectomy was atony and coagulopathy (32%). In all cases a total abdominal hysterectomy has been made. Mortality rate was 10.5% and the most frequent complications were lesions of urinary bladder (10.5%). The results obtained have been compared with the data from world literature.
本文对19例剖宫产子宫切除术的适应证、手术方法选择、术后处理及手术并发症的处理进行了分析。1975年至1985年期间，在比托姆第一妇产科诊所共进行了2961例剖宫产手术。剖宫产子宫切除术在正常分娩中的发生率为0.07%，在剖宫产手术中的发生率为0.64%。剖宫产术后行子宫切除术最常见的适应证是前置胎盘（28%），子宫切除术最常见的适应证是宫缩乏力和凝血功能障碍（32%）。所有病例均行全腹子宫切除术。死亡率为10.5%，最常见的并发症是膀胱损伤（10.5%）。将所得结果与世界文献数据进行了比较。
