Clinical analysis of 10 cases of uterine rupture after pregnancy after cesarean section
剖宫产术后再次妊娠子宫破裂10例临床分析

摘要

目的 探析剖宫产术后再次妊娠子宫破裂的临床特点。方法 本研究开展时间为2019年4月-2020年4月，便利选取该时间段内在我院接受剖宫产术后再次妊娠子宫破裂患者共计10例子作为主要分析对象，采用回顾性分析法分析以上患者的各项临床资料，通过分析了解患者的临床特点，并对相关数据进行计量，尤其是剖宫产术后再次妊娠子宫破裂患者的临床特点要详细记录。结果 所有的患者研究对象中，不无安破裂和完全破裂的患者各占一部分，分别是7例和3例。就完全破裂的患者而言，其孕周平均值和本次分娩和上次剖宫产的间隔时间分别是（28.37±8.68）周、20个月。此类患者入院时间不足整月，且具有不同程度的疼痛感。而子宫不完全破裂患者其孕周平均值和本次分娩和上次剖宫产的间隔时间分别是（36.45±5.66）周、12个月及以上。此类患者中足月产妇较多，且腹部疼痛不明显。结论 子宫破裂的主要危险因素是剖宫产术后再次妊娠，且破裂表现不同。因此，为了保证孕期的安全，应该对剖宫产后再次妊娠的患者加强重视，通过完善的孕期管理和监督减少不良事件的发生。

Abstract

Objective: To explore the clinical features of uterine rupture after pregnancy after cesarean section.
Methods: This study was conducted from April 2019 to April 2020. It is convenient to select a total of 10 patients with rupture of uterine rupture after undergoing cesarean section in our hospital as the main analysis object, and use retrospective analysis to analyze.The clinical data of the above patients should be analyzed to understand the clinical characteristics of the patients and the relevant data should be measured. In particular, the clinical characteristics of patients with uterine rupture after pregnancy after cesarean section should be recorded in detail.
Results: Among all the patients studied, the patients with unsafe rupture and complete rupture each accounted for a part, 7 and 3 respectively. For patients with complete rupture, the average gestational week and the interval between this delivery and the last cesarean section were (28.37 ± 8.68) weeks and 20 months, respectively. Such patients have been admitted to the hospital for less than a full month and have varying degrees of pain. The average gestational age of patients with incomplete uterine rupture and the interval between this delivery and the last cesarean section were (36.45 ± 5.66) weeks, 12 months and more. Among these patients, there are many full-term births, and abdominal pain is not obvious.
Conclusion  : The main risk factor for uterine rupture is re-pregnancy after cesarean section, and the rupture performance is different. Therefore, in order to ensure the safety of pregnancy, we should pay more attention to patients who are pregnant again after cesarean section, and reduce the occurrence of adverse events through perfect pregnancy management and supervision.