Mintz P, Herlicoviez M, Tilliard J P, Muller G, Lévy G
Rev Fr Gynecol Obstet. 1987 Feb;82(2):97-105.
The authors intend to study 20 cases of uterine dehiscence or pre-rupture of cicatricial uterus owing to a better maternal and fetal prognosis as opposed to complete ruptures. They define the risks factors, i.e. aspects susceptible to weaken the scar, in the past history and during the pregnancy in progress. Finally, the study of semiology permits to establish the conditions of an early diagnosis of dehiscence. These results lead to insist on prevention which is based on a thorough knowledge of the past history and the obstetrical findings, the cephalo-pelvic comparison and the quality of the uterine scar.
作者打算研究20例瘢痕子宫子宫裂开或先兆破裂的病例,因为与完全破裂相比,母婴预后更好。他们确定了危险因素,即在既往病史和当前孕期中易使瘢痕变薄弱的因素。最后,症状学研究有助于确立子宫裂开早期诊断的条件。这些结果促使人们强调预防,预防基于对既往病史、产科检查结果、头盆相称情况以及子宫瘢痕质量的全面了解。