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作 者:伍秋菊 罗丽娟 WU Qiuju;LUO Lijuan(Department of Obstetrics and Gynecology,Xinqiao Hospital,Army Medical University,Chongqing 400037,China)
机构地区:[1]陆军军医大学第二附属医院妇产科,400037
出 处:《重庆医学》2022年第3期472-474,478,共4页Chongqing medicine
摘 要:目的总结双胎胎头交锁阴道分娩的临床特点和相关诊疗方案,以提高对该疾病的认识。方法回顾性剖析该院1例双胎胎头交锁阴道分娩的临床资料及诊疗过程,并复习2000-2021年国内外公开发表的相关文献。结果在双胎胎头交锁时,当臀位胎儿胎臀及胎体娩出后,医生协助头位胎儿胎头先娩出,再娩出臀位胎儿胎头,最后娩出头位胎儿胎体,两胎儿均阴道分娩,新生儿评分分别为1 min 5分、5 min 8分、10 min 8分和1 min 7分、5 min 8分、10 min 8分,回访新生儿均存活且健康。结论在双胎胎头交锁阴道分娩时,当臀位胎儿胎体及胎臀娩出后,先协助头位胎儿胎头先娩出,再娩出臀位胎儿胎头是可行的。Objective To summarize the clinical characteristics and related diagnosis and treatment scheme of vaginal delivery with twin head locking to improve the understanding of this disease.Methods The clinical treatment process of a case of locked twins from vaginal delivery in this hospital was retrospectively analyzed,and the relevant literature published at home and abroad from 2000 to 2021 were reviewed.Results When the fetal head was locked,the breech fetal buttock and fetal body were firstly delivered,the clinician assisted the head position fetal head to be delivered,then breech fetal head was delivered,and finally head fetal body was delivered.Both fetuses were vaginal delivery,and the neonatal score was 5-8-8 and 7-8-8 respectively.All the newborns in the follow-up visit were alive and healthy.Conclusion It is feasible to assist the delivery of fetal head in head position and the delivery of fetal head in breech position after the delivery of fetal body and breech position.
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