收稿日期: 2017-04-07
网络出版日期: 2017-06-30
基金资助
国家自然科学基金青年基金资助项目(81300513); 上海交通大学“医工交叉研究基金”资助项目(YG2014MS37)
Clinical analysis of 13 patients with uterine rupture during pregnancy
Received date: 2017-04-07
Online published: 2017-06-30
探讨妊娠时子宫破裂发生的原因, 总结临床治疗经验, 从而更好地诊断处理这一产科急症. 从病史、临床特点、治疗手段及母婴预后等多方面比较分析了2009年1月至2016年12月中国福利会国际和平妇幼保健院子宫破裂病例13例, 其中完全性子宫破裂占69.23%, 不完全性子宫破裂占30.77%. 13例子宫破裂患者中, 3例经阴道分娩, 1例为阴道分娩中转剖宫产分娩, 1例剖宫取胎, 8例为剖宫产分娩. 在病因方面, 疤痕子宫占69.23%, 原发性子宫破裂占30.77%. 在临床处理方面, 除2例行全子宫切除外, 其余11例均行子宫破裂修补术. 子宫破裂是严重的产科并发症, 产妇及新生儿并发症发生率较高. 疤痕子宫是最主要的病因, 子宫破裂通常以剧烈腹痛及胎心异常为临床表现, 在临床上应严密观察, 结合病史及早对子宫破裂作出诊断.
华人意, 王彦林, 林楠, 郭玉娜 . 妊娠子宫破裂13例临床分析[J]. 上海大学学报(自然科学版), 2017 , 23(3) : 402 -407 . DOI: 10.12066/j.issn.1007-2861.1937
To analyze the high-risk factors, clinical characteristics and prognosis of uterine rupture during pregnancy, clinical data of 13 patients with uterine rupture in International Peace Maternity and Child Health Hospital from January 2009 to December 2016 were analyzed retrospectively. Among the 13 patients, 69.23% had complete uterine rupture. The rest had incomplete uterine rupture. 3 patients had vaginal delivery; 1 had a trial of vaginal delivery followed by a caesarean section, and 8 had caesarean section. 9 patients had scarred uterus. Hysterectomy was performed in 2patients. Scarred uterus is one of the most common risk factors of uterine rupture during pregnancy. A typical symptom of uterine rupture is continuous abdominal pain. Prognosis of the uterine rupture requires
further investigation.
Key words： clinical characteristics; risk factor; uterine rupture
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