论文部分内容阅读
目的:研究孕妇子宫破裂的危险因素,并探讨有效的防治措施。方法:选择46例子宫破裂孕妇为观察组,以同期未出现子宫破裂的34 201例孕妇为对照组,根据瘢痕子宫、剖宫产手术史、子宫肌瘤剔除史、药物流产史等危险因素,对46例患者根据体征开展不同手术治疗方式,总结治疗效果。结果:1子宫破裂危险因素包括:高龄产妇、瘢痕子宫、多次孕史(≥3次)、头盆不称等;246例孕妇均行手术治疗:子宫次全切除术12例、子宫破裂修补术30例、修补+绝育术4例,且完全性子宫破裂组多行子宫次全切除术,不完全子宫破裂组多行子宫破裂修补术。所有患者预后良好,仅出现胎儿死亡3例,无其他严重并发症,术后常规抗炎,患者均痊愈出院。结论:对具有高龄、剖宫产瘢痕子宫、多次孕史、头盆不称等因素孕产妇,需重点开展针对性防治,以尽可能降低子宫破裂率;早期确诊,根据患者一般情况,选择恰当的手术方式,可有效保证子宫破裂患者预后。
Objective: To study the risk factors of uterine rupture in pregnant women and to explore effective prevention and treatment measures. Methods: Forty-six pregnant women with uterine rupture were selected as the observation group and 34 201 pregnant women without uterine rupture as the control group. According to the risk factors of scar uterus, cesarean section operation history, uterine myoma rejection history and medical abortion history, 46 patients according to signs of different surgical treatment, summarize the treatment effect. Results: 1 The risk factors of uterine rupture include: advanced maternal, scar uterus, multiple pregnancy history (≥3 times), cephalopelvic disproportion, etc .; 246 pregnant women underwent surgery: subtotal hysterectomy in 12 cases, uterine rupture repair Surgery in 30 cases, repair + sterilization in 4 cases, and complete uterine rupture group multi-line subtotal hysterectomy, incomplete uterine rupture group multi-line uterine rupture repair. All patients with good prognosis, only 3 cases of fetal death, no other serious complications, postoperative conventional anti-inflammatory, patients were cured and discharged. Conclusion: For pregnant women with advanced age, cesarean section scar uterus, multiple pregnancy history, cephalopelvic disproportion and other factors, targeted prevention and treatment should be given priority to reduce uterine rupture rate; early diagnosis, according to the general situation of patients, choose Appropriate surgical methods, can effectively guarantee the prognosis of patients with uterine rupture.