CAJ | 학술논문

目的：探讨产科急症子宫切除的指征、治疗及转归情况。方法对本院2003～2013年产科收集的进行了急症子宫切除的52例患者进行统计分析。结果子宫收缩乏力、子宫切口感染、胎盘因素、子宫破裂、多发性子宫肌瘤等是使患者须进行子宫切除手术的重要指征。其中，胎盘因素所占比例最高（46.1％），其次为子宫收缩乏力（21.1％）。产妇的治愈好转率为96.1％。术后并发症发生率为36.5％。结论子宫切除是一项有效的抢救产科大出血以及挽救孕产妇生命的的措施。提高产科技术质量，做好孕产妇围产期监测，是目前能够降低产科子宫切除最有效的方法。
목적：탐토산과급증자궁절제적지정、치료급전귀정황。방법대본원2003～2013년산과수집적진행료급증자궁절제적52례환자진행통계분석。결과자궁수축핍력、자궁절구감염、태반인소、자궁파렬、다발성자궁기류등시사환자수진행자궁절제수술적중요지정。기중，태반인소소점비례최고（46.1％），기차위자궁수축핍력（21.1％）。산부적치유호전솔위96.1％。술후병발증발생솔위36.5％。결론자궁절제시일항유효적창구산과대출혈이급만구잉산부생명적적조시。제고산과기술질량，주호잉산부위산기감측，시목전능구강저산과자궁절제최유효적방법。
Objective To investigate the indication, treatment and outcome of emergency obstetric hysterectomy. Methods A retrospective study was performed on 52 cases with emergency obstetric hysterectomy from 2003 to 2013 in our hospital. Results According to the statistical analysis,uterine atony, uterine incision infection、placental anomaly, uterine rupture and multiple myomata of uterus were important indications of emergency obstetric hysterectomy. Among them, the proportion of placenta anomaly was the highest (46.1%), followed by uterine atony (21.1%). The maternal cure and recovery rate was 96.1%. The rate of postoperative complications was 36.5%. Conclusion Hysterectomy is one of the effective methods for rescuing obstetric hemorrhage and saving maternal life. Improving the quality of obstetric technology and perfecting the maternal perinatal monitoring is currently the most effective way to reduce obstetric hysterectomy.