剖宫产及产后子宫切除术。
Cesarean and postpartum hysterectomy.
作者信息
Chanrachakul B, Chaturachinda K, Phuapradit W, Roungsipragarn R
机构信息
Department of Obstetrics and Gynecology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
出版信息
Int J Gynaecol Obstet. 1996 Aug;54(2):109-13. doi: 10.1016/0020-7292(96)02692-6.
OBJECTIVE
To review the cases of cesarean and postpartum hysterectomy.
METHOD
A retrospective study of all cases of cesarean and postpartum hysterectomy during 1985-1994. Maternal characteristics, method of delivery, indications for hysterectomy and complications were reviewed.
RESULTS
The rate of cesarean and postpartum hysterectomy was 1:1667 deliveries. Half of these cases were delivered by cesarean section. The main indications for hysterectomy were massive bleeding due to uterine atony, abnormal placental adhesions or uterine rupture. Maternal morbidity was high and there was one maternal death.
CONCLUSION
Cesarean and postpartum hysterectomy is a necessary life-saving operation. Although maternal mortality is rare, morbidity remains high. Prevention of complications that give rise to hysterectomy and optimally timed surgery should decrease maternal morbidity and mortality.
目的
回顾剖宫产及产后子宫切除术的病例。
方法
对1985年至1994年间所有剖宫产及产后子宫切除术病例进行回顾性研究。回顾产妇特征、分娩方式、子宫切除指征及并发症。
结果
剖宫产及产后子宫切除术的发生率为每1667例分娩中有1例。其中一半病例通过剖宫产分娩。子宫切除的主要指征是子宫收缩乏力导致的大出血、胎盘异常粘连或子宫破裂。产妇发病率高，有1例产妇死亡。
结论
剖宫产及产后子宫切除术是一项必要的挽救生命的手术。虽然产妇死亡率罕见，但发病率仍然很高。预防导致子宫切除的并发症并适时进行手术应可降低产妇发病率和死亡率。
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