Abstract: Uterine rupture is a serious obstetric complication.Even though the incidence rate is low，it is a major risk factor for maternal and perinatal morbidity and mortality.Uterine rupture occurs most frequently in women with a prior cesarean section and uterine surgery.With the implementation of the three-child policy，the number of elderly pregnant women who have had a history of uterine surgery is increasing，along with the increasing potential risk of uterine rupture，which deserves clinical attention.We aimed to provide the suggestions for the early detection，diagnosis and treatment of uterine rupture during pregnancy to avoid devastating maternal and perinatal complications.

Key words: uterine rupture, uterine surgery, cesarean section, myomectomy, scarred uterus

摘要： 子宫破裂是一种严重的产科并发症，其发生率较低，但极易导致不良母儿结局。子宫破裂最常见的高危因素是由剖宫产及其他子宫相关手术导致的瘢痕子宫。随着中国“三孩”政策的出台，具有子宫手术史的高龄孕妇逐渐增多，子宫破裂潜在风险增加，临床医生需高度重视。文章针对多次子宫手术史的孕妇其妊娠期子宫破裂的早期发现、早期诊断及早期处理做一总结，旨在为减少子宫破裂导致的不良妊娠结局提供参考。

关键词: 子宫破裂, 子宫手术史, 剖宫产术, 子宫肌瘤, 子宫瘢痕