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| Clinical study on 4 cases with uterine rupture |
| JIAO Ying FU Yujing XU Caiyan |
| Department of Gynaecology and Obstetrics, Beijing Tongren Hospital, CMU, Beijing 100730, China |
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Abstract The article analyzes 4 cases diagnosed as uterine rupture in recent 5 years at Beijing Tongren Hospital, CMU, including 3 cases of compelete uterine rupture and 1 case of incompelete uterine rupture. Gstational weeks ranging from 25 weeks to 40+6 weeks. 4 cases with the typical syndrome of sudden severe abdominal pain, shock, abdominal tenderness and fetal heart sounds disappeared. Cesarean scar rupture was found in 1 case, myomectomy were found in 2 cases , unknown cause was found in 1 case (history of artificial abortion).The 4 cases underwent emergency exploratory laparotomy and uterine repair, after a series of symptomatic treatment, improved and discharged within 7 days. No case of maternal death and 3 cases of fetal death. Through comparative study of domestic and foreign literatures, on etiology, clinical characteristics, main points of diagnosis and treatment of uterine rupture it can be seen that uteru scar, uterine injuried operations are high risk factors of uterine rupture.
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[1] Wen L，Hu LB，Feng XY，et al. Rathke' 8 cleft cyst：clinicopathological and MRl findings in 22 patients [J]. Clin Radiol，2010，65（1）：47-55.
[2] Nishioka H，Haraoka J，Izawa H，et al. Magnetic resonance imaging，clinical manifestations，and managememt of Rathke's cleftcyst [J]. Clin Endoerinol，2006，64（2）：184-188.
[3] 张敏.瘢痕子宫不完全性破裂员例[J]中国现代医生，2009， 47（26）：131.
[4] 董冬梅，蔡大芳，庄佩华.子宫破裂25例临床分析[J].实用妇产科杂志，2007，23（10）：629-630.
[5] 张惜阴.实用妇产科学[M].2版.北京：人民卫生出版社，2004.
[6] 白晓霞，王正平，杨小福.子宫破裂67例临床分析[J].中国妇产科杂志，2014，49（5）：331-335.
[7] Catanzarite V，Cousins L，Dowling D，et al. Oxytocin—associated nlpture of an unscarred uterus in primigravida [J]. Obstet Gynecol，2006，108（3 Pt 2）：723-725.
[8] Paul PG，Koshy AK，Thomas T. Preagnency outcomes following laparoscopic myomectomy and single—layer myometrial closure [J]. Hum Reprod，2006，21（3）：3278-3281.
[9] Fukuda M，Tanaka T，Kamada M，et al. Comparison of the perinatal outcomes after laparoscopic myomectomy versus abdominal myomectomy [J]. Gynecol Obsete Invest，2013，76（4）：203-208.
[10] Badial G，Fagan PJ，Masood M，et al. Spontaneous uterine rupture at 22 weeks gestation in a multipara with previous Hysteroscopic resection of fibroid [J]. BMJ Case Rep，2012，18：2012.
[11] Parker WH，Iacampo K，Long T. Uterine rupture after laparoscopic removal of a pedunculated myoma [J]. J Minim Invasive Gynecol，2007，14（3）：362-364.
[12] Faucommier A，Dubussion JB，Ancel PY，et al. Prognostic factors of reproductive outcomes after myomectomy in infertile patients [J]. Hum Reprod，2000，15（8pp）：1751-1757.
[13] 熊钰，李笑天.瘢痕子宫产生的常见原因及其对远期妊娠的影响[Ｊ].中国实用妇科与产科杂志，2010，26（8）：577-579.
[14] Tarney CM，Whitecar P，Sewell M，et al. Rupture of an unscarred uterus in a quadruplet pregnancy [J]. Obstet Gynecol，2013，121（1）：483-485.
[15] Misra M，Roychowdhury R，Sarkar NC，et al. The spontaneous prelabour rupture of anunscarred uterus at 34 weeks of pregnancy [J]. J Clin Diagn Res，2013，7（3）：548-554.
[16] Dow M，Wax JR，Pinette MG，et al. Third-trimester uterine rupture without precious cesarean：a case series and review of the literature [J].Am J Perinatol，2009，26（10）：739-744.
[17] Bujold E，Simoneau J，et al. Prediction of complete uterine rupture by sonographic evaluation of the lower uterine segment [J]. Am J Obstet Gynecol，2009，201（3）：l-6.
[18] 李学和，陈梅. Ｂ超检测妊娠晚期子宫下段瘢痕厚度对再次剖宫产的意义[Ｊ].实用妇产科杂志，2008，24（9）：568-569.
[19] 杨慧霞.应重视瘢痕子宫妊娠及相关问题[J].中国实用妇科与产科杂志，2012，26（8）：574-576.
[20] Has R，Topuz S，Kalelioglu I，et al. Inmging features of postpartum uterine rupture：a case report [J]. Abdom Inmging，2008，33（1）：101-103.
[21] Suner S，Jagminas L，Peipert JF，et al. Fatal spontaneous rupture of a gravid uterus：case report and literature review of uterine rupture [J]. J Emerg Med，1996，14（2）：181-185. |
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