摘要
目的探讨妊娠期子宫破裂的临床诊治及预防,以改善母儿预后结局。方法回顾性分析2011年1月至2018年6月空军军医大学第一附属医院收治的24例妊娠期子宫破裂病例的临床特征。结果子宫破裂发生率为0.12%(24/20 845),其中17例为子宫不全破裂,7例为子宫完全破裂。影响子宫破裂的原因分别是有剖宫产史(19/24,79.17%)、子宫肌瘤术后(2/24,8.33%)、残角子宫(2/24,8.33%)。有1例子宫破裂原因不明。24例子宫破裂患者最终均得以保留子宫。结论剖宫产是子宫破裂的主要病因,有效控制剖宫产率,可减少子宫破裂的发病率。
Objective To explore the clinical diagnosis,treatment and prevention of uterine rupture to improve the prognosis outcomes of mother and child. Methods The clinical features of 24 cases of uterine rupture during pregnancy from January 2011 to June 2018 in the First Affiliated Hospital of Air Force Military Medical University were retrospectively analyzed. Results The incidence of uterine rupture was 0.12%(24/20 845),of which 17 cases were incomplete uterine rupture and 7 cases were complete uterine rupture. The causes of uterine rupture were cesarean section(19/24,79.17%),operated of uterine fibroids(2/24,8.33%),history of uterine fibroids(2/24,8.33%),and rudimentary uterus horn(2/24,8.33%). 1 case was unknown. All 24 patients with uterine rupture were able to retain the uterus. Conclusion Cesarean section is the main cause of uterine rupture. Effective control of cesarean section rate can reduce the incidence of uterine rupture.
作者
刘海霞
刘朵朵
白璐
吕艳红
陈必良
LIU Haixia;LIU Duoduo;BAI Lu;LYU Yanhong;CHEN Biliang(Department of Obstetrics,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Shandong Jinan 250021,China;Department of Obstetrics and Gynecology,the First Affiliated Hospital of Air Force Military Medical University,Shaanxi Xi\an 710032,China)
出处
《中国妇幼健康研究》
2020年第5期693-696,共4页
Chinese Journal of Woman and Child Health Research
基金
学科助推计划资助项目(XJZT18MJ90)。
关键词
子宫破裂
瘢痕妊娠
瘢痕子宫
风险
uterine rupture
scar pregnancy
scarred uterus
risk factor
作者简介
刘海霞(1987-),女,住院医师,博士研究生,主要从事围产医学及妇科肿瘤的研究。;通讯作者:陈必良,主任医师。
