分娩期子宫破裂64例分析

目的 分析分娩期子宫破裂的发病原因及预防措施。方法 回顾分析1985年8月至2001年12月，16a间64例分娩期子宫破裂的临床资料。结果 子宫收缩剂使用不当3l例，占48．4％；胎先露下降受阻13例，占20．3％；子宫疤痕16例，占25％；阴道助产4例，占6．3％。初产妇10例(10．9％)；经产妇54例(89．1％)。结论 降低分娩期子宫破裂发生率关键在于加强计划生育工作及围生期保健，严格掌握子宫收缩剂的适应证及剂量；严格首次剖宫产指征；严密观察产程，及时处理异常分娩。

The Analysis of 64 Cases of Uterus Rupture

Objective To study the causes of the rupture of uterus during labor and the preventions of it.Methods The clinical data of 64 cases of the rupture of uterus during labor from Octorber,1985 to December,2001 were analyzed retrospectively.Results Oxytocin and Misoprostol were unproperly used in 31 cases(48.4%); the descent of fetal presentation was prevented in 13 cases(25%);16 cases with uterine star delivery-helped through vagina was 4 cases(6.3%);10 cases(10.9%) were primiparas;54 cases(89.1%)were multiparas. Conclusions The key to decrease the ratio of the rupture of uterus during labor is to improve family planning and the care during perinatal,to constrict the option and the dose of Oxytocin and Misoprostol,to constrict the options of the first cesarean section;to observe the stage of labor strictly and to treat the dystocia properly.