Kielland产钳在持续性枕后位中的应用  

Application of Kielland forceps in persistent occipitoposterior position

作　　者：梅燕 姚敏华 陈桂琪 张德陶[1,2] 

机构地区：[1]上海市杨浦区妇婴保健院 [2]上海第二医科大学附属新华医院

出　　处：《中国实用妇科与产科杂志》1999年第5期301-302,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的评估Ｋｉｅｌａｎｄ产钳对持续性枕后位进行反置上钳旋转胎头的安全性及可行性。方法对１００例胎头双顶径已达或已过坐骨棘水平的持续性枕后位产妇，用Ｋｉｅｌａｎｄ产钳进行反置上钳旋转胎头产钳术。结果成功率１００％，母体软产道损伤１７％，新生儿损伤１２％，无会阴Ⅲ度裂伤，无后穹窿、宫颈、膀胱损伤及子宫破裂，无新生儿颅内出血及死亡等严重并发症。结论Ｋｉｅｌａｎｄ产钳反置上钳旋转胎头术用于双顶径已达或已过坐骨棘水平的持续性枕后位是安全、方便、可行的，并对降低剖宫产率具有一定的意义。Objective\ To evaluate the safety and feasibility of reverse putting of Kielland forceps in rotating the persistent occipitoposterior position.Methods\ Reverse putting of Kielland forceps was used to rotate the persistent occipitoposterior position in 100 pregnant women when biparietal diameter of the fetal head had reached or passed the ischial spine.Results\ The successful rate of the operation was 100%,the injury rate of maternal soft birth canal was 17%,and the injury rate to the neonates was 12%.No severe complications occurred,such as 3 rd degree laceration of perineum,injury of posterior fornix,cervix and bladder,uterine rupture,intracranial hemorrhage or death of the neonates.Conclusions\ It was a safe,convenient and feasible method using reverse putting of Kielland forceps in rotating the persistent occipitoposterior position when the biparietal diameter of the fetal head had reached or passed the ischial spine,and it could decrease the cesarean rate in some degree.

关 键 词：KIELLAND产钳 持续性 枕后位 引产术 

分 类 号：R714.441[医药卫生—妇产科学] R719.33[医药卫生—临床医学]