高位推举胎头法在胎头深嵌伴第二产程停滞或延长剖宫产术中的应用  

The application of high press up method in cesarean section for fetal head embedded complicated with the second stage of labor stagnating or extending

作　　者：武心荣 

机构地区：[1]安徽省萧县人民医院妇产科,235200

出　　处：《蚌埠医学院学报》2013年第7期831-833,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨高位推举胎头法在胎头深嵌伴第二产程停滞或延长的剖宫产术中的应用价值。方法:将因胎头深嵌伴第二产程停滞或延长需剖宫产术者116例随机分为2组,其中对照组58例采用常规手术法(经阴道将胎头推至胎头松动),观察组58例术中应用高位推举胎头法,比较2组子宫切口撕裂、子宫动脉损伤、术中出血量、手术时间、新生儿窒息率和住院时间。结果:观察组在子宫切口撕裂、子宫动脉损伤、术中出血量、手术时间、新生儿窒息率和住院时间等均少于对照组(P<0.01)。结论:在胎头深嵌伴第二产程停滞或延长的剖宫产术中应用高位推举胎头法效果良好。Objective： To explore the application value of high press up method in cesarean section for fetal head embedded complicated with the second stage of labor stagnating or extending. Methods： One hundred and sixteen cases with cesarean section for fetal head embedded complicated with the second stage of labor stagnating or extending were randomly into the observation and control group（58 cases each group）. The observation and control group were treated with high press up and conventional operation method （loose the fetal head by transvaginal push）, respectively. The uterus incision laceration, uterine artery injury, blood loss, operation time, neonatal asphyxia rate and hospitalization time in two groups were compared. Results： The uterus incision laceration, uterine artery injury ,blood loss, operation time, neonatal asphyxia rate and hospitalization time of observation group were less than those in control group（P 〈 0.01 ）. Conclusions： The effects of high press up method in the treatment of fetal head embedded complicated with the second state of labor stagnating or extending are good.

关 键 词：产程异常 高位推举胎头法 胎头深嵌 产程 第二 剖宫产术 

分 类 号：R714.45[医药卫生—妇产科学]