Korejo R, Jafarey S N
Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Centre, Karachi.
J Pak Med Assoc. 1995 Apr;45(4):86-8.
During the five years period (1st January 1988 to 31st December 1992), 106 hysterectomies were performed for obstetric indications in the Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Centre (JPMC), Karachi. The frequency was 1 in 331 deliveries (total 35,172 deliveries). In all except one hysterectomy was performed as a life saving measure. The major indications were ruptured uterus in 61 (58%) cases and severe postpartum haemorrhage due to uterine atony in 18 (17%). Other indications included haemorrhage due to placenta praevia in 11 (10%), placenta accreta 7 (7%) and abruptio placentae 5 (5%), severe infection 2 (2%) and broad ligament haematoma following caesarean section 1 (1%). There were 10 (9%) maternal deaths all due to severity of the conditions necessitating hysterectomy. Obstetric hysterectomy can save many lives but requires proper judgement and skill. Senior resident staff in obstetric units in the developing countries should be trained for it.
在1988年1月1日至1992年12月31日这五年期间，卡拉奇真纳研究生医学中心（JPMC）妇产科因产科指征进行了106例子宫切除术。其发生率为每331例分娩中有1例（分娩总数为35172例）。除1例之外，所有子宫切除术均作为挽救生命的措施实施。主要指征为子宫破裂61例（58%），因子宫收缩乏力导致的严重产后出血18例（17%）。其他指征包括前置胎盘出血11例（10%）、胎盘植入7例（7%）、胎盘早剥5例（5%）、严重感染2例（2%）以及剖宫产术后阔韧带血肿1例（1%）。有10例（9%）孕产妇死亡，均因需要进行子宫切除术的病情严重所致。产科子宫切除术可以挽救许多生命，但需要恰当的判断和技能。发展中国家产科单位的高级住院医师应接受相关培训。
