摘要:目的 分析产科子宫切除术的原因，探讨抢救产科出血的方法及降低产科子宫切除术的可能性。 方法 回顾性分析深圳市妇幼保健院产科近4年22例产科子宫切除病例。 结果 产科子宫切除术占分娩总数0.116%，其中剖宫产子宫切除占剖宫产手术的0.28%，阴道分娩子宫切除占阴道分娩的0.017%，胎盘因素是子宫切除的首要原因。 结论 ①产科子宫切除术是挽救产妇生命的有效措施，但要从严掌握手术指征。②有前置胎盘、胎盘早剥等胎盘因素孕产妇应警惕产后子宫出血。③降低剖宫产率有利于防止产后出血等产科并发症发生。

    关键词:产科出血;产科子宫切除;剖宫产

    Clinical analysis of22obstetrical bleeding cases treated by suing hysterectomy.DENG Ying，WANG Chen-hong.(Shen-zhen Municipal Maternal Hosptial，Shenzhen518028，Guangdong，P.R.China)

    Abstract:Objective To analyze the cause of the obstetrical hysterectomy，and study the methods of treatment of obstetrical bleeding and the possibity of decreasing the incidence of obstetrical hysterectomy. Methods Twenty-two cases of obstetrical hys-terectomy during four years were analyzed retrospectively. Results The incidence of obstetrical hysterectomy is about0.116%.Cesarean hysterectomy accounts for0.28%of cesarean section.Hysterectomy following vaginal delivery accounts for0.017%of vaginal delivery.Placental factor is the primary indication of obstetrical hysterectomy. Conclusion 1.Obstetrical hysterectomy has been proved to be the effective life-saving procedure ......