子宫肌壁间妊娠中期子宫破裂一例

A Case Report of Intramural Pregnancy Uterine Rupture in the Second Trimester

子宫肌壁间妊娠(intramural pregnancy)是一种特殊类型的异位妊娠,临床极为罕见。若持续妊娠至中晚期,极易导致子宫破裂、大出血、休克、丧失生育能力,严重者可致命。报告1例子宫肌壁间妊娠19周子宫破裂患者的救治过程。综合本例患者的诊治经过由最初的妊娠腹痛到考虑子宫破裂、再到最后手术及术后回顾分析,得出子宫肌层妊娠破裂的诊断。反思并总结经验,复习相关文献,加强对该类罕见妊娠的认识,便于更早发现、识别、处理子宫肌壁间妊娠,以改善患者不良妊娠结局。

Intramural pregnancy is a special type of ectopic pregnancy that is extremely rare in clinic.If the pregnancy continues to second or third trimester of pregnancy,it is very likely to lead to uterine rupture,severe hemorrhage,shock,loss of fertility,and even fatal in severe cases.A case of an intramural pregnancy patient with uterine rupture at 19 weeks was reported.Combined with related case reports,firstly the initial abdominal pain of pregnancy was considered,and then it might be uterine rupture,finally the surgical and postoperative review analysis verified that it was intramural pregnancy rupture.By reviewing the diagnosis and treatment of this patient,summarizing and reviewing relevant literatures,we will strengthen the understanding of such rare pregnancy in order to detect,identify and treat this rare pregnancy earlier,so as to improve the adverse pregnancy outcomes of patients.