悬吊式胎儿牵引术在特殊病例引产中的应用  

Application of suspension fetal traction of induced abortion in special cases

作　　者：陈晓璐[1] 陈艳红[2] 苏春宏[2] 陈敦金[2] Chen Xiaolu;Chen Yanhong;Su Chunhong;Chen Dunjin(Department of Obstetrics and Gynecology,First People's Hospital of Taizhou City,Zhejiang Province,Taizhou 318020,China;Department of Obstetrics and Gynecology,Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510515,China)

机构地区：[1]台州市第一人民医院妇产科,浙江省318020 [2]广州医科大学附属第三医院妇产科,510150

出　　处：《中华产科急救电子杂志》2019年第2期121-124,共4页Chinese Journal of Obstetric Emergency（Electronic Edition）

摘　　要：目的观察运用直角滑轮牵引器的悬吊式胎儿牵引术在特殊病例引产中的临床效果。方法回顾性分析2013年6月至2016年6月在广州医科大学附属第三医院因医学指征引产患者临床资料的(共148例),根据引产中是否运用悬吊式胎儿牵引术将患者分为牵引术组(40例)和对照组(108例),牵引术组又根据引产方式不同分为利凡诺+牵引组、米索+牵引组、水囊+牵引组及单纯牵引组,对照组分为利凡诺组、米索组及水囊组,分组比较引产相关指标及并发症情况。结果牵引术组排胎成功率(97.5%)高于对照组(83.8%),χ^2=5.24,P<0.05,但两组产后出血量、子宫破裂发生率、宫颈裂伤发生率、产褥期感染发生率,差异均无统计学意义(P均>0.05)。结论在特殊病例引产中,运用直角滑轮牵引器悬吊式胎儿牵引术能缩短排胎时间,可以避免不必要的剖宫取胎术。Objective To observe the clinical effect of suspensory fetal traction of induced abortion in special case with the right angle pulley tractor. Methods A retrospective analysis was conducted in 148 patients,who admitted to the Third Affiliated Hospital of Guangzhou Medical University to undergo induced abortion with medical indications from June 2013 to June 2016.According to whether the suspension of fetal traction was used in the abortion,patients were divided into traction group (40 cases) and control group (108 cases).The traction group was divided into rivanol+traction group,miso+traction group,water sac+traction group and simple traction group according to different methods of induced abortion.The control group was divided into rivanol group,miso group and water sac group.Induced abortion related indicators and the complications were compared between different groups.T test or Chi-square tests were performed for test statistical analysis. Results The success rate of the traction group (97.5%) was higher than that of the control group (83.8%),χ^2=5.24,P <0.05.However,there was no significant difference in the incidence of postpartum hemorrhage,uterine rupture,cervical laceration and puerperal infection between the two groups ( P >0.05). Conclusion Suspensory fetal traction of induced abortion in special cases with the right angle pulley tractor shortened the time of fetal discharge and avoided unnecessary cesarean section.

关 键 词：引产 牵引术 

分 类 号：R719.3[医药卫生—妇产科学]