中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
2期
235-236
,共2页
剖宫术%子宫切除%危险因素
剖宮術%子宮切除%危險因素
부궁술%자궁절제%위험인소
Cesarean section%Hysterectomy%Risk factors
目的:分析产科急症子宫切除术的相关危险因素,为降低子宫切除率的措施提出科学依据.方法:收集45例的产科急症行子宫切除患者和100例剖宫产产后出血但未行子宫切除术的患者临床资料进行病例对照分析,探索相关危险因素.结果:胎盘早剥、术前凝血指标异常、子宫破裂、产后总出血量超过2000ml、出现DCI、子宫肌瘤可使子宫切除的风险增高(P<0.05).结论:结合上述危险因素,开展有针对性的危险性预测及干预,有利于提高生殖健康水平,降低剖宫产子宫切除率.
目的:分析產科急癥子宮切除術的相關危險因素,為降低子宮切除率的措施提齣科學依據.方法:收集45例的產科急癥行子宮切除患者和100例剖宮產產後齣血但未行子宮切除術的患者臨床資料進行病例對照分析,探索相關危險因素.結果:胎盤早剝、術前凝血指標異常、子宮破裂、產後總齣血量超過2000ml、齣現DCI、子宮肌瘤可使子宮切除的風險增高(P<0.05).結論:結閤上述危險因素,開展有針對性的危險性預測及榦預,有利于提高生殖健康水平,降低剖宮產子宮切除率.
목적:분석산과급증자궁절제술적상관위험인소,위강저자궁절제솔적조시제출과학의거.방법:수집45례적산과급증행자궁절제환자화100례부궁산산후출혈단미행자궁절제술적환자림상자료진행병례대조분석,탐색상관위험인소.결과:태반조박、술전응혈지표이상、자궁파렬、산후총출혈량초과2000ml、출현DCI、자궁기류가사자궁절제적풍험증고(P<0.05).결론:결합상술위험인소,개전유침대성적위험성예측급간예,유리우제고생식건강수평,강저부궁산자궁절제솔.
Objective:To analyze hospita1 emergency hysterectomy in obstetric risk factors,and reduce the hysterectomy rate of possible measures.Methods:58 cases emergency obstetric hysterectomy patients and 100 cases of postpartum hemorrhage after caesarean sections not undergoing obstetric hysterectomy were retrospectively analyzed.Results:The cause of postpartum hemorrhage risk factors for emergency hysterectomy were placental abruption,preoperative coagulation abnormalities,uterine rupture,blood loss increased,DIC and myoma of uterus (P<0.05).Conclusion:To be combination with these risk factors would benefit for controlling the rate of emergency hysterectomy.