【摘要】目的：分析产科子宫切除的发生率、指征及母儿预后。方法：回顾性分析9年间18例产科子宫切除病例。结果：产科子宫切除发生率0.059%，其中剖宫产子宫切除占88%。子宫切除术主要指征是胎盘因素、子宫收缩乏力。结论：正确掌握剖宫产指征，降低剖宫产率，一旦发生难以控制产后重度出血，适时子宫切除是抢救孕妇生命的一项重要且有效的措施。

    【关键词】产后重度出血；子宫切除；临床分析

    文章编号：1009-5519(2007)11-1595-02 中图分类号：R71 文献标识码：A

    Obstetrical hysterectomy for severe postpartum bleeding:Analysis of 18 cases

    JINMei

    (Department of Obstetrics and Gynecology，The Central Hospital of Fenxian District，Shanghai 201400，China)

    【Abstract】Objective:To analyze the morbidity、indications as well as the prognosis of the mothers and babies of the obstetrical hysterectomy.Methods:Eighteen cases of obstetrical hysterectomy during nine years were analyzed retrospectively.Rusults:The incidence of obstetrical hysterectomy was about 0.059% ......