子宫破裂70例临床分析

发布时间：2018-02-13 05:32

本文关键词： 子宫破裂瘢痕胎监　出处：《广东医学》2017年15期 　论文类型：期刊论文

【摘要】：目的探讨子宫破裂的发病率、病因、诊断及预防。方法回顾分析分娩发生子宫破裂的70例患者的临床类型、病因、临床表现及结局。结果研究其间分娩共30 931例,发生子宫破裂70例,其中完全性子宫破裂5例(5/70)、不完全子宫破裂43例(43/70)、先兆子宫破裂22例;瘢痕子宫57例、非瘢痕子宫13例(13/70);自发性子宫破裂4例(4/70)、肩难产1例(1/70),双胎2例;34例术前无临床表现、术中发现子宫破裂;19例胎监异常(19/70);9例需要抢救,其中出血性休克4例(4/70)、新生儿重度窒息1例(1/70)、全子宫切除2例、次全子宫切除1例。结论 (1)瘢痕子宫是子宫破裂的首要原因;(2)除外临床表现及B超检查,正确的胎监判读对及早诊断子宫破裂有一定辅助作用;(3)迅速干预能最大限度地降低孕产妇及围生儿的不良结局;(4)降低剖宫产率是预防子宫破裂的最有效方法。
[Abstract]:Objective to investigate the incidence, etiology, diagnosis and prevention of uterine rupture. Methods the clinical types, etiology, clinical manifestations and outcomes of 70 patients with uterine rupture were retrospectively analyzed. There were 70 cases of uterine rupture, 5 cases of complete rupture of uterus, 43 cases of incomplete rupture of uterus, 22 cases of threatened rupture of uterus, 57 cases of scar uterus. There were 13 / 70 cases of non-scar uterus, 4 cases of spontaneous uterine rupture, 1 case of shoulder dystocia, 34 cases of twin pregnancy and 34 cases without clinical manifestation before operation. 19 cases of uterine rupture and 19 cases of abnormal fetal monitoring were found to be in need of rescue. Among them, 4 cases with hemorrhagic shock, 1 case with severe neonatal asphyxia, 2 cases with total hysterectomy, 1 case with subtotal hysterectomy, 1 case with hemorrhagic shock, 4 cases with hemorrhagic shock, 1 case with severe neonatal asphyxia, 1 case with subtotal hysterectomy. Correct interpretation of fetal monitoring has a certain auxiliary effect on the early diagnosis of uterine rupture. Rapid intervention can minimize the adverse outcome of pregnant women and perinatal children. 4) reducing the rate of cesarean section is the most effective method to prevent uterine rupture.
【作者单位】：广州医科大学附属第二医院产科;
【分类号】：R714.2

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