胎位异常手转胎头术的技术关键及对妊娠结局影响研究  

The Key Technology and Its Influence on Pregnancy Outcomes of Failure of Manually Rotating Fetal Head Technology

作　　者：吴祥华[1] 陆丽嫦[1] 刘偲[1] 

机构地区：[1]广东省江门市第二人民医院,广东江门529000

出　　处：《哈尔滨医药》2016年第3期231-232,共2页Harbin Medical Journal

摘　　要：目的探讨手法旋转异常胎位对妊娠结局的影响及其技术关键。方法收集自2012年1月至2015年8月在我院住院分娩并诊断为持续性枕横位、枕后位的产妇116例,根据手转胎位结果分为成功组和失败组,研究结束时候比较两组的分娩时长、妊娠结局、新生儿状况并分析失败原因。结果成功组产妇分娩时长短于失败组,妊娠结局和新生儿情况均优失败组(P<0.05);而产妇不配合或者配合度欠佳、宫缩乏力、超重胎儿等均多见于失败组(P<0.05)。结论手转胎头术是安全有效的,可以帮助头位难产产妇顺利经阴道分娩,但需要取得产妇配合,选择最佳时机,评估好头盆关系及宫缩状态良好时施行。Objective To analysis the key technology and its influence on pregnancy outcomes of failure of manually rotating fe-tal head technology. Methods 116 cases pregnant women with persistent occiput transverse position or posterior position were collect-ed, according to the result were divided into success group and failure group, the childbirth time, pregnancy outcomes, neonatal status were compared, and analyze the reasons for failure. Results The childbirth time was shoter, shorter outcomes and neonatal status were better in success group than failure group （P〈0. 05）;moreover, puerpera do not fit or poor with the degree, uterine inertia were more common in failure group（P〈0. 05）. Conclusion Failure of manually rotating fetal head technology is safe and effective, can help mothers with head difficult successfully vaginal delivery, but it needs to be done when made with mothers, choose the best time, evaluat the head basin relations and good contractions.

关 键 词：胎位异常 手转胎位术 原因分析 

分 类 号：R714.44[医药卫生—妇产科学]