子宫破裂的影响因素及临床诊治分析

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国家科技期刊平台
NETL
NSTL
万方数据

中文摘要：目的:分析子宫破裂的影响因素及临床诊治措施、效果。方法:选取 2018 年 1 月—2023 年 11 月仙桃市妇幼保健院收治的 24804 例产妇，调查该组产妇的基本资料，了解子宫破裂的影响因素，总结诊治措施。结果:本次调查共纳入24804 例产妇，124 例因临床资料不全而排除，共调查 24680 例。24680 例产妇中，50 例发生子宫破裂，子宫破裂发生率为0。20%。不同产次、年龄、孕次产妇子宫破裂发生率比较，差异无统计学意义(P>0。05)，有无瘢痕子宫、手术损伤、子宫病变产妇子宫破裂发生率比较，差异有统计学意义(P<0。05)。logistic回归分析结果显示，产妇子宫破裂的影响因素为瘢痕子宫、子宫病变、手术损伤。50 例子宫破裂患者中，治疗后 31 例 1 周后拆线痊愈出院;另外 19 例由于入院时已出现感染，术后并发败血症5例，下肢血栓性静脉炎7例，切口延期愈合7例，患者平均住院时间29 d，未出现死亡病例。结论:产妇子宫破裂情况占比较高，影响产妇子宫破裂因素包括瘢痕子宫、子宫病变和手术损伤，因此对于这部分产妇需引起高度重视，加强围产期保健，预防、减少子宫破裂发生，同时，子宫破裂发生后应积极采取规范的诊治措施加强诊治。

外文标题：Analysis of Influencing Factors and Clinical Diagnosis and Treatment of Uterine Rupture

外文摘要：Objective:To analyze the influencing factors,clinical diagnosis and treatment measures and effects of uterine rupture.Method:From January 2018 to November 2023,24,804 cases of parturient women admitted to Xiantao Maternal and Child Health Hospital were selected to investigate the basic data of this group of parturient women,understand the influencing factors of uterine rupture,and summarize the diagnosis and treatment measures.Result:A total of 24,804 parturients were included in this survey,124 cases were excluded due to incomplete clinical data,and a total of 24,680 cases were investigated.Of 24,680 parturients,50 cases had uterine rupture,the incidence of uterine rupture was 0.20%.There was no statistically significant difference in the incidence of uterine rupture among women with different birth times,ages and gestational times(P>0.05),while there were statistically significant differences in the incidences of uterine rupture among women with or without scarred uterus,surgical injury and uterine lesions(P<0.05).logistic regression analysis showed that the influencing factors of uterine rupture were scarred uterus,uterine lesions and surgical injury.Of the 50 cases of uterine rupture,31 cases were discharged from hospital after 1 week of suture removal.Other 19 patients were infected at admission,with postoperative sepsis in 5 cases,thrombophlebitis in lower limbs in 7 cases,and delayed incision healing in 7 cases.The average hospital stay of the patients was 29 d,and no death occurred.Conclusion:The incidence of uterine rupture in women is relatively high,and the factors affecting uterine rupture include scarred uterus,uterine lesions and surgical injuries.Therefore,great attention should be paid to these women,and perinatal health care should be strengthened to prevent and reduce the occurrence of uterine rupture.At the same time,standardized diagnosis and treatment measures should be actively adopted to strengthen diagnosis and treatment after the occurrence of uterine rupture.

外文关键词：

Uterine ruptureInfluencing factorsClinical diagnosis and treatment

作者：

李雪梅

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作者单位：

仙桃市妇幼保健院湖北仙桃 433000

关键词：

子宫破裂影响因素临床诊治

出版年：

2024

DOI：