胎头深陷行子宫下段剖宫产取胎方法临床分析  

Clinical Analysis of Lower Uterine Segment Cesarean Section Extraction for Deep Fetal Head

作　　者：荀生丽 任卫娟[1] 张小微[1] 

机构地区：[1]扬州大学附属医院扬州市妇幼保健院妇产科,江苏扬州225002

出　　处：《中外医疗》2017年第12期97-99,共3页China & Foreign Medical Treatment

摘　　要：目的探讨产程中剖宫产胎头深陷娩头困难时的两种取胎方法 ,避免子宫切口延伸的发生,降低产褥病率发生率。方法随机选取2014年7月—2016年7月于扬州市妇幼保健院病房分娩的产程中胎头深陷行子宫下段剖宫产术,常规方法娩头困难50例,一组应用足牵引臀位取胎法(观察组25例),另一组取胎前经阴道上推胎头头位取出法(对照组25例),对两种方法进行临床分析。结果观察组患者术中出血量(241.2±12.81)m L、手术时间(46.6±1.34)min、子宫切口延伸2例、产褥病率4例,对照组出血量(304±57.29)m L、手术时间(59.2±7.71)min、子宫切口延伸8例、产褥病率7例,观察组患者术中出血量、手术时间、子宫切口延伸、产褥病率发生率均低于对照组,差异有统计学意义(P<0.05)。结论对于胎头深陷剖宫产选用足牵引臀位取胎法,减少了术中出血量、手术时间、子宫切口延伸和产褥病率发生率,在临床中选用,相对比较安全。Objective To discuss the two extraction methods at the delivery difficulty due to deep fetal head in the cesarean section, avoid the occurrence of uterine incision propagation and reduce the incidence rate of puerperalism. Methods 50 cases of patients with delivery difficulty due to deep fetal head in the cesarean section treated in our hospital from June2014 to June 2016 were randomly selected and divided into two groups with 25 cases in each, the observation group applied the traction position extraction, while the control group adopted the head posture extraction, and the two methods were analyzed. Results The intraoperative bleeding amount, operative time, uterine incision propagation and puerperalism in the observation group were lower than those in the control group[(241.2±12.81)m L,(46.6±1.34)min, 2 cases, 4 cases vs(304±57.29) m L,(59.2±7.71)min, 8 cases, 7 cases], and the differences were statistically significant(P<0.05). Conclusion The traction position extraction for patients with deep fetal head in the cesarean section can reduce the intraoperative bleeding amount, operation time, uterine incision propagation and reduce the incidence rate of puerperalism, and the application in clinic is relatively safe.

关 键 词：剖宫产 胎头深陷 子宫切口延伸 产褥病率 

分 类 号：R719.8[医药卫生—妇产科学]