关键词: hysterectomy maternal morbidity placenta percreta unscarred uterine rupture

Mesh : Female Pregnancy Infant, Newborn Humans Placenta Accreta / surgery Uterine Rupture / etiology surgery Hysterectomy Pelvis Risk Factors

来  源:   DOI:10.32074/1591-951X-882   PDF(Pubmed)

Abstract:
The main risk for uterine rupture is the presence of a uterine scar due to prior cesarean delivery or other uterine surgery. However, rupture in an unscarred uterus is extremely rare, and risk factors include multiple gestations, trauma, congenital anomalies, use of uterotonics and placenta accreta spectrum.
Placenta accreta spectrum, also known as morbidly adherent placenta, is becoming increasingly common and is associated with significant maternal and neonatal morbidity and mortality.
We report a case of unscarred uterine rupture due to placenta percreta in a multiparous woman that required emergency peripartum hysterectomy.
摘要:
子宫破裂的主要风险是由于先前的剖宫产或其他子宫手术导致的子宫疤痕的存在。然而,无疤痕子宫破裂极为罕见,危险因素包括多胎妊娠,创伤,先天性异常,使用子宫收缩和胎盘植入谱。
胎盘植入谱,也被称为病态粘附胎盘,正变得越来越普遍,并与显著的孕产妇和新生儿发病率和死亡率相关。
我们报告了一例因胎盘穿孔导致子宫破裂的案例,该案例是在一名需要紧急围产期子宫切除术的多胎妇女中。
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