静止状态的疤痕子宫不全破裂的临床分析

The Clinical Analysis of the Incomplete Rupture of Scarred Uterus in Static State

目的探讨静止状态的疤痕子宫不全破裂的相关因素、诊断及处理。方法对我院2005年1月至2009年12月发生的46例静止状态的疤痕子宫不全破裂进行回顾性分析。结果静止状态的疤痕子宫不全破裂人数占同期二次剖宫产人数比例与两次妊娠间隔时间有关:<12个月为9%;24～36个月为3%;>36个月为6%。且静止状态的疤痕子宫不全破裂临床症状体征不明显,术前诊断困难。B超疤痕处子宫肌层厚度能提示诊断。结论静止状态的疤痕子宫不全破裂可能与距前次剖宫产的时间、缝合技术、个体差异有关;其临床症状不明显,诊断困难,B超检查有诊断意义。

Objective To investigate the relevant factors,diagnosis and treatment of the incomplete rupture of scarred in static state.Methods 46 cases of static state of incomplete rupture of scarred uterus from January 2005 to December 2009 were reviewed and analyzed.Result The proportion of the numbers of incomplete rupture of scarred uterus in static state and the same period′s numbers of second cesarean section is related with the interval of two pregnancies.It is respectively 9%,3% and 6% when the interval is less than 12 months,24 to 36 months and more than 36 months.And it is difficult to diagnose preoperatively since the symptoms of incomplete rupture of scarred uterus in static state are not obvious.Through B-sonography examination on scarred myometrium thickness can provide a clue for diagnosis.ConclusionsStatic state of incomplete rupture of scarred uterus probability is related to previous cesarean delivery,the technique of suture and individual differences.It is difficult to diagnosis because these clinical symptoms are not obvious.Consequently,B-sonography inspection has a significant meaning in the process of diagnosing static state of incomplete rupture of scarred uterus.