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17例子宫破裂临床分析结果表明:瘢痕子宫是子宫破裂的主要原因,瘢痕子宫妊娠破裂与妊娠间距关系不明显,而与前次手术质量及个体素质有关。瘢痕子宫妊娠破裂立即干预母儿预后满意。其中瘢痕子宫破裂10例,胎儿存活8例;另7例子宫破裂,胎儿存活2例且产妇死亡1例。预防子宫破裂关键在于降低剖宫产率及提高手术质量,也应注意轻度隐性头盆不称的及时处理及催产素的合理应用。子宫破裂的处理可行修补术或次全子宫切除术。
The clinical analysis of 17 cases of uterine rupture showed that the uterus was the main cause of uterine rupture. The relationship between uterine rupture of pregnancy and pregnancy was not obvious, but related to the quality and individual quality of previous operation. Scar uterine rupture of pregnancy immediately interfere with the prognosis of maternal and child satisfaction. One case of uterine scar rupture in 10 cases, 8 cases of fetal survival; the other 7 cases of uterine rupture, fetal survival in 2 cases and maternal death in 1 case. The key to preventing uterine rupture is to reduce the rate of caesarean section and improve the quality of surgery, we should also pay attention to the mild recessive headache and timely treatment of oxytocin rational use. Treatment of uterine rupture possible repair or subtotal hysterectomy.