目的:探讨胎盘穿透致子宫破裂急腹症的诊断和治疗。方法:回顾性分析该院2010年2月~2013年3月3例胎盘穿透致子宫破裂患者的临床资料。结果:3例胎盘穿透致子宫破裂发生孕周及时间不一,全部非初次妊娠,其中1例为促排卵受孕,另2例为自然妊娠;3例均有刮宫病史(其中1例有“子宫穿孔”史),1例有剖宫产病史;3例均行手术治疗,手术均保留子宫,经术中探查及术后病理确诊为胎盘穿透。结论:对有植入性胎盘高危因素的患者应加强产前检查,提高产前诊断率。对可疑患者应尽快行剖腹探查术,术中根据胎盘植入面积大小、失血量多少和是否有生育要求采取不同的治疗方法。 Objective: To investigate the diagnosis and treatment of uterine rupture acute abdomen caused by placenta penetration. Methods: The clinical data of 3 patients with uterine rupture caused by placenta penetration from February 2010 to March 2013 were retrospectively analyzed. Results: Three cases of uterine rupture caused by placental penetration occurred in different gestational age and time, all of them were non-first-time pregnancies. One case had ovulation induction and the other two cases had natural pregnancy. All three cases had curettage history (1 case had “Uterine perforation” history), 1 case had a history of cesarean section; 3 cases were treated by surgery, the uterus were retained by surgery and postoperative pathological diagnosis of placental penetration. Conclusion: Patients with implanted placenta at risk factors should be strengthened prenatal examination to improve the prenatal diagnosis rate. Suspicious patients should be as fast as possible laparotomy, intraoperative placenta accreta, according to the size of the area, how much blood loss and whether there are reproductive requirements to take a different treatment.