关键词: 子宫破裂, 剖宫产史, 临床特点

Abstract:

Abstract： Objective To analyze the clinical characteristics and preventive measures of the uterine rupture during the pregnancy after previous cesarean section. Methods Data of 10 patients diagnosed with uterine rupture after previous cesarean section from January 1990 to December 2013 in Peking Union Medical Collage Hospital were analyzed retrospectively.Results Among the 10 patients,4 complete uterine were diagnosed and 6 with incomplete uterine rupture were diagnosed respectively.Of all the patients that were diagnosed with complete uterine rupture,the mean gestational weeks was（27+6±9+4）weeks;the shortest interval between this and last cesarean section was 21 months.All of them were premature ,and complained lower abdominal pain when arriving at the hospital. Of the patients that were diagnosed with incomplete uterine rupture ,the mean gestational week was（36+4±5+2）weeks,the shortest interval between this and last cesarean section was 12 months.Most of them were mature and did not have the complaint of abdominal pain.Conclusions    Pregnancy with a history of previous cesarean section is a high risk factor for uterine rupture.As a result，during the whole pregnancy,the obstetrician should keep an eye on the gravida who has a history of previous cesarean section and intensify the supervision and the monitoring of the gestation.

Key words: uterine rupture, previous cesarean section;clinical characteristics