不同部位非典型子宫破裂四例

Atypical Uterus Rupture at Different Locations in Four Cases

子宫破裂越来越得到临床的重视,剖宫产、子宫肌瘤剔除术后等瘢痕子宫的围生期子宫破裂容易被警惕和识别,但非剖宫产瘢痕部位的子宫破裂往往病史多样,症状不典型,不容易诊断,容易误诊和漏诊,延误治疗时机,可导致严重母儿不良结局的发生。本文通过对4例分别继发于前次剖宫产术中宫角贯穿缝合术后、自然产人工剥离胎盘+清宫术后、车祸外伤后以及异位妊娠腹腔镜输卵管切除术后的不典型非剖宫产瘢痕部位子宫破裂病例进行分析,探讨其临床意义。

More and more clinical attention has been paid to uterine rupture. The perinatal uterine rupture of cicatricial uterus such as cesarean section and myomectomy is easy to be vigilant and recognized. However, the uterine rupture of non cesarean scar sites often has a variety of medical history and atypical symptoms. It is not easy to diagnose, and easy to misdiagnose, miss diagnosis. The treatment could be delayed, which lead to the serious adverse maternal and child outcomes. In this paper, 4 cases of uterine rupture in the scar area of non-cesarean section were reported. These cases were secondary to the previous cesarean section, the natural labor and artificial separation of placenta, the traffic accident and the ectopic pregnancy after laparoscopic salpingectomy.