Usta Ihab M, Hamdi Mohamad A, Musa Antoine A Abu, Nassar Anwar H
Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon.
Acta Obstet Gynecol Scand. 2007;86(2):172-6. doi: 10.1080/00016340601089768.
To review the outcome of subsequent pregnancies in conservatively managed cases of uterine rupture.
Charts of patients with full thickness uterine rupture in the past 25 years were reviewed and information on subsequent pregnancies was extracted from maternal and neonatal charts.
Thirty-seven patients with uterine rupture were identified; the uterus was scarred in 62.2%. Ruptures were repaired in 26 (70.3%). Twelve patients subsequently conceived (24 pregnancies), with recurrence in 8/24 (33.3%) pregnancies or 5/12 (41.7%) patients. Patients with recurrence had a shorter median interval from previous rupture (2 versus 5 years), a higher incidence of previous longitudinal ruptures (60.0% versus 0.0%), and the median gestational age at the preceding rupture was lower without reaching statistical significance (34 versus 38 weeks; p = 0.209).
Longitudinal ruptures and short intervals between rupture and subsequent pregnancy predispose to recurrence of uterine rupture.
回顾子宫破裂保守治疗病例的后续妊娠结局。
回顾过去25年全层子宫破裂患者的病历，并从母婴病历中提取后续妊娠的信息。
共确定37例子宫破裂患者；62.2%的患者子宫有瘢痕。26例（70.3%）进行了破裂修复。12例患者随后怀孕（24次妊娠），其中8/24（33.3%）次妊娠或5/12（41.7%）例患者复发。复发患者距上次破裂的中位间隔时间较短（2年对5年），既往纵向破裂的发生率较高（60.0%对0.0%），上次破裂时的中位孕周较低，但未达到统计学意义（34周对38周；p = 0.209）。
纵向破裂以及破裂与后续妊娠之间的间隔时间短易导致子宫破裂复发。
