摘要
目的探讨剖宫产后再次妊娠子宫破裂的相关因素、诊治及预防。方法回顾性分析13年间我院收治的疤痕子宫破裂病例。结果剖宫产疤痕子宫破裂14例(0.613‰),85.71%从未产检,50%为隐性破裂。子宫下段剖宫产10例,古典式剖宫产4例,6例完全破裂,8例不完全破裂。10例子宫修补同时行双侧输卵管结扎术,各有2例行全子宫及次全子宫切除术。结论剖宫产疤痕子宫破裂与前次术式、指征等因素相关,应警惕隐性破裂,尽早诊治。严格掌握首次剖宫产指征、提高手术质量、充分重视疤痕子宫孕产妇的高危管理及监护、提高住院分娩率是有效预防措施。
Objective： To investigate the etiologic factors, diagnosis -therapy and prophylaxis for uterine rupture after a previous cesarean section. Methods ： Retrospectively analyzed all cases with such a diagnosis in our hospital from July 1993 to July 2006. Results： 14 cases had scarred uterine rupture （0. 613‰）, while 85.71% had no prenatal visit and 50% were silent ruptures. There were 10 previous lower segment and 4 corpus cesarean sections, 6 complete and 8 incomplete ruptures. 11 cases were performed uterus repair plus bilateral tubal ligation. Subtotal and total hysterectomy was done for 2 cases respectively. Conclusion： Scar rupture after a previous cesarean section is related to many factors including prior indication and mode. Silent rupture should be caution and diagnosis - therapy should be made early. Measures that to constrict the indication and to improve the quality of cesarean section, to strengthen perinatal care and to increase the in -hospital delivery rate will decrease the prevalence.
出处
《中国优生与遗传杂志》
2007年第6期64-65,共2页
Chinese Journal of Birth Health & Heredity
关键词
子宫破裂
疤痕子宫
剖宫产
预防
Uterine rupture
Scarred uterus
Cesarean section
Prophylaxis
