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首页> 外文期刊>International journal of fertility and women's medicine >Case series of uterine rupture and subsequent pregnancy outcome.
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Case series of uterine rupture and subsequent pregnancy outcome.

机译：子宫破裂及随后妊娠结局的病例系列。

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OBJECTIVE: TO review the incidence of ruptured uterus at Women's Hospital, Hamad Medical Corporation (HMC), highlight the management approach of suture repair in relation to maintaining the patient's future fertility, and study subsequent pregnancy outcome and the risk of recurrent uterine rupture. METHODS: Case notes were reviewed for every patient with a ruptured uterus at the Women's Hospital in Doha for a period of 15 years, from 1 January 1983 to 31 December 1997. RESULTS: There were 17 cases of ruptured uterus. The incidence of ruptured uterus was calculated to be 0.012%; eight (47%) of these occurred in patients with previous cesarean scars, while nine cases (52.9%) were grand multiparas (5 or more). In nine cases (52.9%), uterine rupture was associated with oxytocin use, and four patients (23.5%) were associated with prostaglandin E2 (PGE2) use. The ruptures occurred in the posterior uterine wall in one patient, the scar of a classical cesarean section in another, and in the lower segment in the remainder. Fetal heart abnormalities were observed in all cases in which the uterus ruptured during labor. Abdominal hysterectomy was performed in eight cases (47%). The remaining nine patients had suture repair, two with sterilization, and the other seven without sterilization. Six of these subsequently became pregnant, for a total of ten babies, all delivered by cesarean section. CONCLUSION: Even though rupture of the uterus was rare in our study, its occurrence should be suspected when there are sudden fetal heart abnormalities during labor or unexpected antepartum or postpartum hemorrhage. Suture repair should be considered whenever possible to maintain the patient's future fertility.
机译：目的：回顾哈马德医学公司（HMC）妇女医院子宫破裂的发生率，强调与维持患者未来生育能力相关的缝合修复管理方法，并研究随后的妊娠结局和再次发生子宫破裂的风险。方法：从1983年1月1日至1997年12月31日，在多哈妇女医院对每例子宫破裂的患者进行了为期15年的病例笔记复查。结果：共有17例子宫破裂。子宫破裂的发生率为0.012％;其中8例（47％）发生在有剖腹产疤痕的患者中，而9例（52.9％）为大面积剖腹产（5例或更多）。在9例（52.9％）的子宫破裂与使用催产素有关，而4例（23.5％）与使用前列腺素E2（PGE2）有关。破裂发生在一名患者的子宫后壁，另一例发生在经典剖宫产的瘢痕，其余部分发生在下部。在分娩过程中子宫破裂的所有情况下均观察到胎儿心脏异常。 8例（47％）进行了子宫子宫切除术。其余9例患者进行了缝合修复，其中2例进行了灭菌，另外7例未进行灭菌。其中六个随后怀孕，总共十个婴儿，全部通过剖宫产分娩。结论：即使在我们的研究中子宫破裂很少见，但在分娩过程中突然出现胎儿心脏异常或意外的产前或产后出血时，也应怀疑子宫破裂的发生。应尽可能考虑进行缝合修复，以维持患者未来的生育能力。

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