2023 年第 2 期 第 18 卷

剖宫产术后阴道分娩子宫破裂1例

A case report of uterine rupture in vaginal delivery after cesarean section

作者：吴诗瑶1赵云2

英文作者：Wu Shiyao1 Zhao Yun2

单位：1武汉科技大学医学院，武汉430065；2华中科技大学同济医学院附属湖北妇幼保健院产科，武汉430070

英文单位：1School of Medicine Wuhan University of Science and Technology Wuhan 430065 China; 2Department of Obstetrics Maternal and Child Hospital of Hubei Province Tongji Medical College Huazhong University of Science and Technology Wuhan 430070 China

关键词：剖宫产术后阴道试产；剖宫产术后阴道分娩；子宫破裂

英文关键词：Trialoflaboraftercesareansection;Vaginaldeliveryaftercesareansection;Uterinerupture

• 摘要：

• 目前我国有剖宫产史的育龄妇女再次妊娠率增加，剖宫产术后阴道试产是很多孕产妇的需求，其最危险的并发症是子宫破裂，会导致母婴不良结局。本文介绍1例剖宫产术后阴道试产成功的病例，于产后18 h发现子宫破裂并剖腹进行子宫破裂口修补，成功保留子宫。通过该病例提醒围产工作者，剖宫产术后阴道分娩产妇产后仍需要关注子宫破裂的症状及体征，超声常规产后检测子宫的连续性。

• At present, there is a increased rate of re-pregnancy in reproductive aged women with prior cesarean section in China. Trial of labor after cesarean section(TOLAC) is a requirement for many pregnant women. The most dangerous complication of TOLAC is uterine rupture, which can lead to adverse maternal and child outcomes. This paper introduces a case of uterine rupture found after successful vaginal delivery 18 h later, treated with laparotomic uterotonic cleft repair, and preserved uterine successfuly. Through this case, we reminder to perinatal workers that, it is nessecary to pay more attention to the symptoms and signs of uterine rupture in patients with vaginal birth after cesarean section, and to detect uterine continuity by routine postpartum ultrasound.