[1]王琴*,怀莹莹,刘丽.妊娠期子宫破裂14例临床分析[J].中国计划生育和妇产科,2017,(11):50-53.
　WANG Qin*,HUAI Ying-ying,LIU Li.Clinical analysis of 14 cases of uterine rupture during pregnancy[J].Chinese Journal of Family Planning & Gynecotokology,2017,(11):50-53.
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妊娠期子宫破裂14例临床分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年11期
页码:
50-53
栏目:
论著与临床
出版日期:
2017-11-25

文章信息/Info

Title:
Clinical analysis of 14 cases of uterine rupture during pregnancy
作者:
王琴*; 怀莹莹; 刘丽
江苏省昆山市第一人民医院产科
Author(s):
WANG Qin*; HUAI Ying-ying; LIU Li
Department of Obstetrics, the First People 's Hospital of Kunshan,Kunshan Jiangsu 215300,P.R.China
关键词:
子宫破裂; 病因; 临床特点
Keywords:
uterine rupture; cause; clinical characteristics
分类号:
R 7142
摘要:
目的探讨妊娠子宫破裂的相关病史、临床特点及预后。方法对2006~2016年江苏省昆山市第一人民医院妇产科收治的14例妊娠期子宫破裂患者的临床资料进行回顾性分析。结果14例患者中瘢痕子宫10例（714 %），完全子宫破裂10例(714 ％)。完全子宫破裂中8例以腹痛为首发症状，1例仅出现血性羊水，1例表现为大量阴道流血，其中1例合并膀胱破裂的患者表现为全程血尿，其中4例来院时已处于休克状态，这10例患者中4例在术前经B超明确诊断，1例经CT确诊，术中进一步证实，其余5例经手术确诊；不完全子宫破裂4例(286 ％)，其中3例以腹痛为首发症状，另外1例无任何不适，均经手术确诊。14例患者均行手术治疗（１例行子宫次全切除术，１例行子宫次全切除术+膀胱修补术，１例行宫角楔形切除术，其余11例行子宫修补术），恢复良好，5例新生儿Apgar评分良好，2例流产，7例胎死宫内。结论子宫破裂是妊娠期的严重并发症,威胁母婴生命,应引起高度重视，对于存在明确相关病史或可疑子宫破裂的患者,应加强监测以期及时发现并处理。
Abstract:
ObjectiveTo investigate the history, clinical features and prognosis of uterine rupture. MethodsThe clinical date of 14 cases of pregnant women with uterine rupture in the First People’s Hospital of Kunshan from January 2006 to December 2016 were respectively analyzed. ResultsCesarean scar rupture were found in 10 cases (71.4 %,10/14). 10 cases of the 14 patients were complete uterine rupture(71.4%).Among them, 8 cases came with abdominal pain as the first symptom, 1 case appeared with only bloody amniotic fluid.1 case showed massive vaginal bleeding, 1 case with bladder rupture were found the whole performance of hematuria.4 cases were in a state of shock when they came to hospital. Among the 10 cases, 4 patients were diagnosed by B ultrasound before operation, 1 case was confirmed by CT. The results were further confirmed by operation. The other 5 cases were confirmed by operation. Incomplete uterine rupture occurred in 4 cases(28.6 %), of which the first symptom was abdominal pain in 3 cases, and the other 1 case had no discomfort. All of them were diagnosed by operation. 14 patients were treated with surgery, 1 case underwent subtotal hysterectomy, 1 case underwent subtotal hysterectomy and bladder repair, 1 case of uterine wedge resection, and the other 11 cases of uterine repair. All 14 cases recovered well, and the Apgar scores of the newborns were good in 5 cases. There were 2 cases of abortion and 7 cases of fetal death. ConclusionUterine rupture is a serious complication of pregnancy, which is the threat of maternal and child’s life. We should attach great importance and strengthen monitoring to the patients with a clearly relevant history or suspected of uterus rupture in order to detect and deal with it in a timely manner.

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备注/Memo

备注/Memo:
昆山市科技项目（项目编号：KS1538）
更新日期/Last Update: 2017-11-25