Objective To study the high-risk factors of obstetric emergency hysterectomy and feasible measures to reduce the rate of emergency hysterectomy. Methods A retrospective study was conducted to analyze 9 cases of emergency hysterectomy for obstetric factors in Beijing Shijingshan Hospital from January 2002 to March 2011. Results The incidence rate of hysterectomy was 0. 0982%. That of hysterectomy in vaginal delivery was 0.0394% and that in cesarean section was 0. 1710% , but there was no statistical difference (x2 = 2.769,P =0. 096 ). From January 2002 to December 2006 the incidence rate of emergency hysterectomy was 0. 0711% , and that from January 2007 to March 2011 was 0. 1213%. The difference in rate between two periods was not significant (x2 =0. 186, P = 0. 666 ). Uterine inertia was the major indication of hysterectomy, accounting for 55. 56%. Conclusion Evaluating patient 's condition, making preparation before cesarean section, improving surgical technic, enhancing coping capacity of intraoperative emergency and making decision of hysterectomy cautiously can reduce the incidence rate of obstetric emergency hysterectomy.%目的 探讨产科子宫切除术的高危因素及降低子宫切除率的可行措施.方法 对北京石景山医院2002年1月至2011年3月9例因产科因素行子宫切除术的病例进行回顾性分析.结果 子宫切除发生率为0.0982%.阴道分娩行子宫切除发生率为0.0394%,剖宫产行子宫切除术发生率为0.1710%,剖宫产子宫切除发生率高于阴道分娩,但无统计学差异(χ2=2.769,P=0.096).2002年1月至2006年12月急诊子宫切除术发生率为0.0711%,2007年1月至2011年3月行急诊子宫切除术发生率为0.1213%,前5年与后4年3个月相比子宫切除发生率无统计学差异(χ2=0.186,P=0.666).宫缩乏力为子宫切除的主要指征,占55.56%.结论 剖宫产术前充分评估病情,做好准备工作,加强手术技术,提高术中紧急情况的应对能力,谨慎做出切除子宫的决定,可降低产科急诊子宫切除的发生率.
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