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本文回顾分析了我院1975年1月至1990年2月,15年来收治的子宫破裂64例,其中32例为非疤痕破裂.64例中子宫完全破裂30例,占46.87%,不完全破裂34例,占53.13%,经手术治疗无孕产妇死亡.围产儿(双胎1例)存活28例,占43.08%,死亡37例,其中3例<28周,2例畸形儿.校正围产儿死亡率为492.3‰。我院子宫破裂的发生率以1975～1979年较高(1:819),1980～1984年有所下降(1:2523),而1985～1990年又有回升(1:1259),其发生的因素中非疤瘦子宫破裂以产程处理不当为主,占81.25%(26/32);疤痕子宫破裂以前次剖宫产子宫纵切口发病率高,占65.63%(21/32),本文还提出了预防措施。
This retrospective analysis of our hospital from January 1975 to February 1990, 15 cases of uterine rupture in 15 cases, of which 32 cases of non-scar rupture .64 cases of uterine rupture in 30 cases, accounting for 46.87%, incomplete rupture 34 Cases, accounting for 53.13%, no maternal death after surgery.Pernatant (twins in 1 case) survived in 28 cases, accounting for 43.08%, 37 cases of death, of which 3 cases <28 weeks, 2 cases of deformed children. The rate was 492.3 ‰. The incidence of uterine rupture in our hospital was higher from 1975 to 1979 (1: 819), from 1980 to 1984 (1: 2523), and from 1985 to 1990 (1: 1259) Among them, the incidence of non-scar and uterine rupture was mainly improperly treated, accounting for 81.25% (26/32). The incidence of uterine incision in the previous uterine scar was high (65.63%, 21/32) Preventive measures.