子宫破裂原因的临床分析

Analysis for The Reason of Hysterorrhexis

目的:分析近年患者子宫破裂的原因,以减少母体损伤及围产儿死亡。方法:对14例患者子宫破裂发生的原因、治疗经过进行分析。结果:14例子宫破裂者均行开腹手术,13例患者5～8d治愈出院,1例因切口延期愈合12d治愈出院。结论:发生子宫破裂的原因为瘢痕子宫、多次人工流产及滥用缩宫素等。严格掌握剖宫产指征,合理使用缩宫素,对于减少高围妊娠,避免子宫破裂的发生有重大意义。

objective ： to analyze the reason of hysterorrhexis in recent years, to reduce the damage to mothers and thedeath ratio of babies at perinatal stage, so as to improve the national quality. Method： that analysis is laude for the reason of hysterorrhexis and the course treatment in 14 cases. Results： The 14 patients with hysterorrhexis were operated with lap- arotomy; 13 of them patients were cured within 5 to 8 days; only one of them was delayed to cure because of the delayed healing of incision. Conclusions： the main causes of hysterorrhexis were scarred uterus, induced abortion for many times and abuse of oxytocin and so on. It was significant to reduce the gestation at high perinatal stage and avoid hysterorrhexis by strictly grasping the Caesarean section indication, and using oxytocin rationally.