臀位外倒转术在足月臀位妊娠产妇中的应用及矫正成功影响因素分析  

Application of Breech External Reversal in Full-term Breech Pregnancy and Analysis of Factors Affecting Success Rate

作　　者：夏玉珊 马铟[1] 蒋翠翠[1] 吴云[1] XIA Yushan;MA Yin;JIANG Cuicui;WU Yun(Department of Obstetrics and Gynecology,the First People's Hospital of Bengbu City,Bengbu,Anhui 233000,China)

机构地区：[1]蚌埠市第一人民医院妇产科,安徽蚌埠233000

出　　处：《临床误诊误治》2024年第10期67-71,共5页Clinical Misdiagnosis & Mistherapy

基　　金：西宁市科技计划项目(2015-K-19)。

摘　　要：目的探讨臀位外倒转术在足月臀位妊娠产妇中的应用,并分析其矫正成功影响因素。方法选取2020年1月至2023年1月收治的足月单胎臀位妊娠产妇162例,根据干预情况将其分为研究组(n=69例)和对照组(n=93例)2组。统计比较2组分娩方式、臀位矫正成功情况及治疗过程中并发症发生情况;采用单因素和多因素Logistic回归分析探讨足月臀位妊娠产妇臀位外倒转术矫正成功影响因素。结果研究组阴道分娩率和臀位矫正成功率[57/69,82.61%;47/69,68.12%]均高于对照组[2/93,2.15%;28/93,30.11%](P<0.01)。治疗过程中,研究组胎盘早剥、脐带绕颈、头盆不称发生率和围产期新生儿住院率[1/69,1.45%;2/69,2.90%;1/69,1.45%;1/69,1.45%]低于对照组[9/93,9.68%;12/93,12.90%;10/93,10.75%;11/93,11.83%](P<0.05)。多因素Logistic回归分析结果显示,新生儿体质量和产次是足月臀位妊娠产妇臀位外倒转术矫正成功的独立影响因素(P<0.05,P<0.01)。结论足月臀位妊娠产妇应用臀位外倒转术可提高阴道分娩率,降低并发症发生率,而新生儿体质量和产次是影响该技术矫正成功的主要因素。Objective To investigate the application of external breech conversion in women with full-term breech pregnancy and to analyze the factors influencing the success of external breech conversion.Methods In total,162 pregnant women with full-term and single breech pregnancy admitted from January 2020 to January 2023 were divided into two groups according to the intervention conditions:research group(n=69)and control group(n=93).Delivery mode,success rate of breech correction and complications during treatment were statistically compared between the two groups.The factors influencing the success of external breech conversion in full-term breech pregnancy were investigated by univariate analysis and multivariate Logistic regression analysis.Results The vaginal delivery rate and success rate of external breech conversion in the research group[57/69,82.61%;47/69,68.12%]were higher than those in the control group[2/93,2.15%;28/93,30.11%](P<0.01).During treatment,the incidence of placental abruption,umbilical cord around neck,cephalopelvic imbalance and perinatal hospitalization of neonates in the research group[1/69,1.45%;2/69,2.90%;1/69,1.45%;1/69,1.45%]was lower than that in the control group[9/93,9.68%;12/93,12.90%;10/93,10.75%;11/93,11.83%](P<0.05).Multivariate Logistic regression analysis showed that neonatal body weight and parity were independent influencing factors for the success of external breech conversion in full-term breech pregnancy(P<0.05,P<0.01).Conclusion The use of external breech conversion in pregnancy women with full-term breech pregnancy can improve the rate of vaginal delivery and reduce the incidence of complications,and the neonatal body weight and parity are the main factors influencing the success of this technique.

关 键 词：臀位外倒转术 妊娠 臀位 足月 成功率 阴道分娩 并发症 多因素LOGISTIC回归分析 

分 类 号：R714.15+2[医药卫生—妇产科学]