目的探讨子宫破裂的原因、防治措施。方法回顾性分析76例子宫破裂的原因及处理。结果发生子宫破裂的原因为梗阻性难产占35.5%;疤痕子宫23.7%,滥用催产素者占19.7%,手术损伤21.1%。50例行子宫修补术;次全子宫切除术20例;全子宫切除4例;死亡2例。结论做好产前检查,提高住院分娩率,正确处理产程,合理应用催产素等能减少子宫破裂的发生,同时应加强基层医务人员的培训。 Objective To investigate the causes of uterine rupture, prevention and treatment measures. Methods Retrospective analysis of 76 cases of uterine rupture causes and treatment. Results The cause of uterine rupture was obstructive dystocia 35.5%; scar uterus 23.7%, abuse of oxytocin 19.7% and surgical injury 21.1%. 50 routine hysterectomy; subtotal hysterectomy in 20 cases; hysterectomy in 4 cases; 2 died. Conclusions Prenatal examination, improve hospital delivery rate, correct treatment of labor, rational use of oxytocin can reduce the incidence of uterine rupture, and should strengthen the training of primary health care workers.