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妊娠子宫破裂是产科最严重合并症之一,产母和胎儿的病率与死亡率均高。近年来,由于血库、麻醉、手术、抗生素预防和治疗盆腔感染的改进,以及胎儿和宫缩电子监护的应用,使产科病人的诊断和治疗有很大变化。本文的目的是对近半个世纪的子宫破裂病人,就此种合并症的发生率、诊断、治疗及其有关的孕母和围产儿后果的变化做一复习。资料分成四个时期:(1)1931～1950年;(2)1951～1962年;(3)1963～1972年;(4)1973～1983年,对各期中子宫破裂的发生率,用统计学X~2分析以检验其变化。 Duke大学医疗中心在近半个世纪中,初次和再次剖腹产率逐渐上升,既往剖腹产病人试行阴道分娩更趋保守。最近10年的子宫破裂发生率为1/2,251次分娩,与前40年相比,接近统计学意义(P<
Pregnancy uterine rupture is one of the most serious complication of obstetrics, maternal and fetal morbidity and mortality were high. In recent years, due to blood banks, anesthesia, surgery, antibiotics to prevent and treat pelvic infections improved, and the application of fetal and uterine contraception electronic monitoring, obstetric patient diagnosis and treatment have changed dramatically. The purpose of this article is to review nearly half a century of patients with ruptured uterus, the incidence of comorbidity, diagnosis, treatment and related changes in the consequences of maternal and perinatal review. The data is divided into four periods: (1) 1931 ~ 1950; (2) 1951 ~ 1962; (3) 1963 ~ 1972; (4) 1973 ~ 1983, the incidence of uterine rupture in each period, with statistics Learn X ~ 2 analysis to test its change. Duke University Medical Center in the past half century, the first and second cesarean section rate gradually increased, the previous caesarean section trial vaginal delivery more conservative. The incidence of uterine rupture in the last 10 years was 1 / 2,251 deliveries, which was close to statistical significance (P <