摘要
目的探讨剖宫产术后再次妊娠子宫破裂的临床特点及预防。方法对1990年1月至2013年12月北京协和医院收治的10例剖宫产术后再次妊娠子宫破裂的病例进行回顾分析。结果 10例子宫破裂的患者中,不完全破裂6例,完全破裂4例。完全破裂的患者平均分娩孕周(27+6±9+4)周,此次分娩距前次剖宫产时间均≥21个月;入院时均未足月,主诉全部伴有下腹部疼痛。子宫不完全破裂的患者平均分娩孕周(36+4±5+2)周,此次分娩距前次剖宫产时间均≥12个月;大部分为足月,多数不伴有腹部疼痛。结论剖宫产术后再次妊娠是子宫破裂的高危因素。对于有剖宫产史再次妊娠的患者,整个孕期都要提高警惕,加强孕期管理和监护。
Objective To analyze the clinical characteristics and preventive measures of the uterine rupture during the pregnancy after previous cesarean section. Methods Data of 10 patients diagnosed with uterine rupture after previous cesarean section from January 1990 to December 2013 in Peking Union Medical Collage Hospital were analyzed retrospectively.Results Among the 10 patients,4 complete uterine were diagnosed and 6 with incomplete uterine rupture were diagnosed respectively.Of all the patients that were diagnosed with complete uterine rupture,the mean gestational weeks was （27＋%9＋4）weeks;the shortest interval between this and last cesarean section was 21 months.All of them were premature ,and complained lower abdominal pain when arriving at the hospital. Of the patients that were diagnosed with incomplete uterine rupture ,the mean gestational week was （36＋4＋-5＋2）weeks,the shortest interval between this and last ce- sarean section was 12 months,Most of them were mature and did not have the complaint of abdominal pain. Conclusions Pregnancy with a history of previous cesarean section is a high risk factor for uterine rupture.As a result, during the whole pregnancy,the obstetrician should keep an eye on the gravida who has a history of previous cesarean section and intensify the supervision and the monitoring of the gestation.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2014年第12期981-983,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
子宫破裂
剖宫产史
临床特点
uterine rupture
previous cesarean section
clinical characteristics
