Ranzini A C, White M, Guzman E R, Scorza W E
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School/St. Peter's Medical Center, New Brunswick, USA.
Obstet Gynecol. 1999 May;93(5 Pt 2):826-7. doi: 10.1016/s0029-7844(98)00423-2.
Reported cases of uterine rupture diagnosed by ultrasound have shown fetal membranes ballooning through uterine rupture sites, or adjacent areas of hemorrhage.
A 27-year-old gravida 3, para 2 had open fetal surgery to repair a fetal myelomeningocele at 28 weeks' gestation. Her postoperative course was complicated by threatened preterm labor and anhydramnios. At 33 weeks' gestation, with maternal symptoms of bowel obstruction, ultrasound showed a fetal leg and section of umbilical cord protruding through the uterine wall.
Even in the presence of anhydramnios, uterine wall rupture was identified, because ultrasound evaluation of the uterine wall showed prolapsed fetal parts and umbilical cord. Persistent anhydramnios after open fetal surgery should prompt a search for uterine rupture.
超声诊断子宫破裂的报告病例显示，胎膜通过子宫破裂部位或相邻的出血区域膨出。
一名27岁、孕3产2的孕妇在妊娠28周时接受了开放性胎儿手术，以修复胎儿脊髓脊膜膨出。她术后出现先兆早产和羊水过少并发症。妊娠33周时，孕妇出现肠梗阻症状，超声检查显示胎儿腿部和一段脐带从子宫壁突出。
即使存在羊水过少，仍可识别子宫壁破裂，因为对子宫壁的超声评估显示有胎儿部分和脐带脱垂。开放性胎儿手术后持续存在羊水过少应促使检查是否存在子宫破裂。
