Fedorkow D M, Nimrod C A, Taylor P J
CMAJ. 1987 Jul 1;137(1):27-9.
Between 1966 and 1985, 15 cases of complete rupture of the uterus in pregnancy were identified among 52,854 deliveries at Foothills Provincial General Hospital, Calgary, for an incidence rate of 0.3 per 1000 deliveries. Previous cesarean section (in seven patients) was not the only predisposing factor: a history of dilatation and curettage (in two patients) or laparoscopy (in one) were also implicated. Long, obstructed labour did not appear to be a factor. Rupture also occurred in patients at low risk. The most frequent immediate complication was hypotension, in five patients. The rupture site was repaired in 11 of the patients; the other 4 underwent hysterectomy. Close surveillance and prompt intervention are the keys to good fetal and maternal outcome.
1966年至1985年间，在卡尔加里山麓省立总医院的52854例分娩中，确诊了15例妊娠子宫完全破裂病例，发病率为每1000例分娩0.3例。既往剖宫产史（7例患者）并非唯一的诱发因素：刮宫史（2例患者）或腹腔镜检查史（1例）也与之有关。产程延长、梗阻性分娩似乎不是一个因素。破裂也发生在低风险患者中。最常见的即刻并发症是低血压，有5例患者出现。11例患者的破裂部位得到修复；另外4例行子宫切除术。密切监测和及时干预是母婴良好结局的关键。
