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目的探讨妊娠中晚期引产致先兆子宫破裂的原因、高危因素、诊治及预防措施。方法回顾性分析2005年1月至2011年1月我院妇产科妊娠中晚期引产致先兆子宫破裂的临床特点、诊断与处理方法。结果高龄、宫颈坚韧、瘢痕子宫、宫颈狭长、子宫不协调收缩。精神高度紧张等是发生先兆子宫破裂的高危因素。2例中孕患者经缓解宫缩,在静脉麻醉下行钳刮术。1例中孕患者经镇静镇痛效果不佳行小剖宫。2例钳刮术患者均3 d平安出院。5例晚孕患者及时剖宫产,母子平安,住院1周平安出院。结论子宫破裂是妊娠中晚期最严重的并发症。及早发现,正确处理先兆子宫破裂是预防子宫破裂的关键。
Objective To investigate the causes, risk factors, diagnosis, treatment and prevention of threatened uterine rupture induced by labor during late pregnancy. Methods A retrospective analysis of January 2005 to January 2011 in our hospital obstetrics and Gynecology late pregnancy induction of threatened uterine rupture clinical features, diagnosis and treatment. The results of advanced age, tough cervical, scar uterus, cervical slender, uterine uncoordinated contraction. A high degree of mental stress is a risk factor for the occurrence of threatened uterine rupture. 2 cases of pregnancy in patients with symptomatic relief of contractions, forceps curettage under the line. One case of pregnancy in patients with sedation analgesic effect of small cesarean section. Two cases of pliersurgic patients were discharged safely 3 days. 5 cases of late pregnancy timely cesarean section, mother and child safety, hospitalization 1 week safe discharge. Conclusions Uterine rupture is the most serious complication of late pregnancy. Early detection, the correct treatment of threatened uterine rupture is the key to preventing uterine rupture.