摘要
目的探讨妊娠期子宫破裂的病因及预防。方法回顾性分析22例妊娠子宫完全破裂患者的临床资料。结果妊娠子宫完全破裂的发生率达0.086%(22/25 707);22例子宫破裂的原因有流产史、子宫手术史(包括剖宫产史)及其缺陷愈合、不恰当的外力、不合理应用引产药、多产史;主要临床表现为腹痛及阴道出血,可导致胎儿窘迫、胎儿死亡及母体失血、子宫丢失。结论重视瘢痕子宫再次妊娠者子宫破裂风险增加的同时,不能忽视人工流产史后、经产妇、高龄女性再次妊娠导致子宫破裂的风险。
Objective To investigate the causes and prevention of uterine rupture during pregnancy.Methods Clinical data of 22 patients with penetrating rupture of pregnancy uterus were analyzed retrospectively.Results The incidence of penetrating rupture of pregnancy uterus was 0.086%(22/25707).The causes of uterine rupture included a history of miscarriage,history of uterine surgery(including the history of cesarean section)and its defect healing,unreasonable application of drug induced labor and productive force,which often give rise to fetal distress,fetal death,blood loss,uterine loss and so on.Conclusion The risk of uterine rupture should not be ignored among pregnancy women with the history of abortion,multipara,advanced age when more attention is paid to uterine rupture of pregnancy women with the history of cesarean section.
作者
王成书
闫璐
黄向华
贾雯
WANG Cheng-shu;YAN Lu;HUANG Xiang-hua;JIA Wen(Department of Obstetrics and Gynecology,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)
出处
《河北医科大学学报》
CAS
2019年第2期185-187,192,共4页
Journal of Hebei Medical University
关键词
妊娠
意外
子宫破裂
剖宫产术
瘢痕
pregnancy,unplanned
uterinerupture
cesareansection
scars
