子宫破裂19例临床分析

目的探讨导致子宫破裂的相关因素及预防和减少其发生的有关措施。方法回顾性分析我院2003年1月至2007年12月19例子宫破裂患者的临床资料。结果子宫破裂的发生率为1．06‰；其中完全性子宫破裂10例，不完全性子宫破裂9例；子宫破裂修补术13例，双输卵管结扎术10例，全子宫切除术6例，阴道裂伤修补术2例；孕产妇发生产后出血10例，治愈出院18例，死亡1例；新生儿窒息5例，死产3例。结论药物使用不当是子宫破裂发生的首要原因，其次为子宫瘢痕破裂和梗阻性难产。子宫修补术是子宫破裂最常见的手术方式。加强有效的预防措施，可以降低子宫破裂的发牛．改善母罂预后．

Clinical analysis of 19 cases of uterine rupture

Objective To discuss the risk factors, prevention methods of the uterine rupture. Methods Retrospective analysis of 19 cases of uterine rupture from January 2003 to December 2007 was done in the Maternal and Children Health Care Hospital of Zhuhai. Results The incidence of uterine rupture in hospital was 1.06‰, among them 10 cases had complete rupture and 9 cases were incomplete rupture. 13 cases had uterus repair opera-tion. 10 cases had bilateral ligation of oviduct. 6 had total hysterectomy and 2 cases had vaginal laceration repair operation. 10 cases had postpartum hemorrhage, 18 cases were cured and 1 maternal death. 5 cases had Neonatal asphyxia and 3 cases had stillbirth. Conclusions The improper use of drugs is the main cause of uterus rupture, secondly was the rupture of uterine scar and the obstructive dystocia. The most common operation is the uterus repair. Strengthening effective preventive measures can reduce the occurrence of uterus rupture and improve the outcome of maternal infant.