以持续性枕横位为手术指征的剖宫产86例分析  

Analysis on 86 cases of cesarean section with indication of persistent occiput transverse position

作　　者：王坚青 

机构地区：[1]江苏省盐城市第一人民医院妇产科,江苏盐城224001

出　　处：《吉林医学》2009年第9期804-806,共3页Jilin Medical Journal

摘　　要：目的:探讨避免及处理持续性枕横位的方法,以求更好地提高产科质量。方法:以持续性枕横位为手术指征的86例剖宫产为研究对象,对其中可能与持续性枕横位的形成及处理有关的因素、指标等进行回顾性分析及研究。结果:造成持续性枕横位的原因有多个,其中最主要的是宫缩乏力;持续性枕横位的处理纠正也是多方面的,其中最主要的是加强宫缩及体位纠正胎方位,并强调早期处理及时纠正。结论:持续性枕横位通过及时发现、正确处理纠正后,应该是可以避免及减少发生的,且剖宫产并非是其最终唯一的处理手段。当然,严格观察产程是关键。Objective To study the methods of avoiding and dealing with the persistent occiput transverse position, so that we can improve our obstetric quality better. Method For 86 cases of cesarean section occurred in our hospital from Mar. 2005 to Mar. 2008 with indication of persistent occiput transverse position as the study object, were retrospectively analyzed all the probably factors that related to the forming and rectifying this abnormal position. Results There were many factors might bring about this abnormal position, but the most major was inertia uteri ; and so were the dealing with ways, and the most important was enhancing the uterine contraction and rectifying the fetal position by changing the posture, and the earlier rectification should be emphasized. Conclusion Being discovered timely and rectified properly, the persistent oeciput transverse position may should be decreased and even be avoided. Of course, the hinge is observing the stage of labour strictly.

关 键 词：持续性枕横位 子宫收缩乏力 体位纠正 剖宫产 

分 类 号：R719.8[医药卫生—妇产科学]