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目的探讨妊娠期及分娩期子宫破裂的临床特点及诊治措施。方法对安溪县医院2006年2月至2013年2月发生的12例妊娠期及分娩期子宫破裂临床资料进行分析。结果经手术12例患者均取得了较好的临床效果,6例不完全性子宫破裂者及时行剖宫娩新生儿存活,6例完全性子宫破裂者均胎死腹中。结论结合患者病史尤其是前次剖宫产的情况、子宫体手术,产前检查以及B超检查来综合分析,有助于早期诊断。一旦怀疑妊娠期先兆子宫破裂或子宫破裂,应行剖宫产终止妊娠。
Objective To investigate the clinical features and diagnosis and treatment of uterine rupture during pregnancy and childbirth. Methods The clinical data of 12 cases of uterine rupture during pregnancy and childbirth in Anxi County Hospital from February 2006 to February 2013 were analyzed. Results All the 12 patients achieved good clinical results. Six cases of incomplete uterine rupture were treated with cesarean section, and six cases of complete uterine rupture were still alive. Conclusion Combined with the patient’s history, especially the previous case of cesarean section, uterine surgery, prenatal examination and B-ultrasound to comprehensive analysis, contribute to early diagnosis. Once suspected pregnancy threatened uterine rupture or uterine rupture, termination of pregnancy should be cesarean section.