Abstract:Objective To analyze and compare the application of subtotal hysterectomy and total hysterectomy in obstetrics. Methods The clinical characteristics of 60 cases of obstetric emergency hysterectomy in First Hospital of Shanxi Medical University from January 2008 to September 2019 were retrospectively analyzed.According to the different surgical methods, they were divided into subtotal hysterectomy group (27 cases) and total hysterectomy group (33 cases). Results From 2008 to 2019, 60 patients underwent emergency hysterectomy due to obstetric factors.The hysterectomy rate was 0.22% (60/27 627).The proportion of patients with total hysterectomy due to placenta accreta was higher than that of subtotal hysterectomy group (26/33 vs 11/27, χ² = 9.094, P=0.003).There was no significant difference in hysterectomy caused by other factors between the two groups.Intraoperative blood loss in total hysterectomy group was higher than that in subtotal hysterectomy group［(4.1±2.8)L vs (2.9±2.0)L, t=2.260, P=0.024］.The proportion of urinary surgery in total hysterectomy group was higher than that in subtotal hysterectomy group (14/33 vs 4/27, χ²=5.390, P=0.020).Only one patient developed fever and diarrhea of unknown cause after operation, and transferred to the superior hospital.The rest patients were cured and discharged.The perinatal mortality rate was 7.02%(4/57). Conclusion In recent years, the rate of total hysterectomy in obstetrics is on the rise, which may be related to the increased incidence of pernicious placenta previa complicated with placenta accreta.