[分娩期未瘢痕化子宫自发性破裂：病例报告及文献复习]

[Spontaneous uterine rupture of an unscarred uterus during labor: case report and review of the literature].

作者信息

Fatfouta I, Villeroy de Galhau S, Dietsch J, Eicher E, Perrin D

机构信息

Service de gynécologie-obstétrique, centre hospitalier François-Maillot, 31, avenue Albert-de-Briey, 54150 Briey, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2008 Apr;37(2):200-3. doi: 10.1016/j.jgyn.2007.09.006. Epub 2007 Nov 7.

DOI:10.1016/j.jgyn.2007.09.006

PMID:17997233

Abstract

Uterine rupture during labor is a serious and uncommon obstetrical complication that can lead to severe prognosis for the mother and her child if not immediately diagnosed and treated. Most spontaneous uterine ruptures occur during labor in parturients with a scarred uterus and are much rarer on an unscarred uterus. We report the case of a uterine rupture on unscarred uterus to a 32 year-old woman after a labor induced by intravaginal prostaglandin and intravenous ocytocine injection. Our management is compared with the data from literature.

摘要

分娩期间子宫破裂是一种严重且罕见的产科并发症，如果不能立即诊断和治疗，可能会给母亲和孩子带来严重的预后。大多数自发性子宫破裂发生在有子宫瘢痕的产妇分娩期间，在无瘢痕子宫上则更为罕见。我们报告了一例32岁女性在阴道内使用前列腺素和静脉注射缩宫素引产分娩后，无瘢痕子宫发生子宫破裂的病例。我们的处理方法与文献数据进行了比较。