【摘 要】目的：通过对产时子宫切除术的原因及适应症进行分析，进而找出降低产时子宫切除术的可能性。方法：选择2013年5月--2018年6月在我院分娩并进行子宫切除术治疗产后出血的42例臨床资料，进行回顾性分析。结果：产时子宫切除术占分娩总数的0.58%，剖宫产术中子宫切除术占0.28%，经阴道分娩后子宫切除占0.017%，在所有子宫切除的病例中胎盘因素是最主要的原因。结论：子宫切除术能有效挽救产妇生命，应警惕胎盘早剥、前置胎盘孕妇出现产后出血的风险，同时降低剖宫产率能有效降低产后出血等并发症。

    【关键词】子宫切除术;临床;产后出血

    Abstract objective： to find out the possibility of reducing hysterectomy by analyzing the causes and indications of hysterectomy. Methods： clinical data of 42 patients who gave birth in our hospital and underwent hysterectomy for obstetric bleeding from May 2013 to June 2018 were selected for retrospective analysis. Results： hysterectomy accounted for 0.58% of the total number of deliveries ......