胎头高直后位87例临床分析  

Clinical analysis of fetal head sincipitoposterior position in 87 cases

作　　者：商恒翠[1] 姚瑞萍[1] 程艾敏[1] 

机构地区：[1]河南省洛阳市妇女儿童医疗保健中心,河南洛阳471000

出　　处：《中国当代医药》2013年第10期174-175,共2页China Modern Medicine

摘　　要：目的探讨胎头高直后位的诊断与处理。方法对87例胎头高直后位进行回顾性分析。结果胎头高直后位时常合并胎膜早破,胎头入盆困难,产程进展缓慢和难产。87例中有74例临产后胎头不入盆,占85.1%;原发性及继发性宫缩乏力62例,占71.3%;潜伏期延长73例,占83.9%;活跃期延长或停滞58例,占66.7%;第二产程停滞13例,占14.9%;胎膜早破27例,占31.0%;宫颈水肿61例,占70.1%;胎头变形水肿81例,占93.1%;排尿困难31例,占35.6%;87例全部行剖宫产,母婴均无严重并发症。结论胎头高直后位是严重的异常胎位,尽早确诊,及时手术,可避免母婴严重并发症。Objective To explore the diagnosis and treatment of fetal head sincipitoposterior position. Methods The retrospective analysis was applied to 87 cases with fetal head sincipitoposterior position. Results The fetal head sin- cipitoposterior position was always combined with premature rupture of membranes, fetal head difficulty in entering pelvis, slow stage of labor, and dystocia. Among all cases, the number of fetal head difficulty in entering pelvis near the time of labor, primary and secondary uterine inertia, prolonged latent phase, prolonged active phase or stop, pro- tracted second stage, premature rupture of membranes, cervical edema, deformation and edema of fetal head, and dy- suria was 74 cases （85.1%）, 62 cases （71.3%）, 73 cases （83.9%）, 58 cases （66.7%）, 13 cases （14.9%）, 27 cases （31.0%）, 61 cases （70.1%）, 81 cases （93.1%）, and 31 cases （35.6%） respectively. All puerperae were treated by ce- sarean section with no severe complications in both mother and infant. Conclusion The fetal head sincipitoposterior position is an abnormal position of the fetus in a severe condition. Early diagnosis and timely surgery can avoid severe complications in mother and infant.

关 键 词：胎头高直后位 胎膜早破 入盆困难 宫缩乏力 剖宫产 并发症 

分 类 号：R714.44[医药卫生—妇产科学]