妊娠子宫破裂15例临床分析

Clinical Analysis of 15 Cases of Pregnant Uterus Rupture.

目的:探讨妊娠子宫破裂发生的原因,以便预防其发生并及时诊断和处理。方法:对15例妊娠子宫破裂病例进行回顾性分析。结果:经产妇>初产妇,农村者>城市者,分娩期>妊娠期,瘢痕子宫破裂占46.67%,梗阻性难产占33.33%,药物使用不当占20%。结论:加强围产期保健,进行高危妊娠的系统管理,严格掌握剖宫产指征,严密观察产程进展及正确使用宫缩剂可减少子宫破裂的发生。

Objectives：Through researching the causes of pregnant uterus rupture to prevent its occurrence, and to detect and treat it immediately while it actually occurs. Methods： We retrospectively analyzed 15 cases of pregnant uterus rupture. Results： The proportion rate of mutrpara is higher than that of primipara. In addition, the proportion rate in rural area is higher than in urban area. Meanwhile, the proportion of rupture during delivery of infant is higher than during pregnancy. The proportion of rupture for cicatrical uterus is 46. 67%, for obstructive dystocia 33.33%, and for improper use of drugs is 20%. Conclusions：It should reinforce perinatal care and systematic supervision of high-risk pregnancy, strictly master indicator syndrome of cesarean section, closely observe the total stage of labor, and correctly use oxytocin to diminish the rupture of uterus.