668例剖宫产指征的分析

Analysis of the Indications of 668 Cesarean Sections

对深圳市福田人民医院１９９１年３月至１９９４年３月６６８例剖宫产产妇进行回顾性分析。结果显示：剖宫产率为９．９５％，手术主要指征为头盆不称、胎儿窘迫和胎位异常，分别占３１．２９％、２８．８９％和８．９８％。剖宫产并发症为９．２８％，围产儿死亡率为３．０％。剖宫产率、并发症率和围产儿死亡率均低于文献报道。提示，正确掌握剖宫产指征，严密观察下试产，可控制剖宫产率及降低母儿并发症。

Six hundred and sixty-eigh cases of cesarean sections duting the period of March 1991 to March 1994 were analyzed retrospectively,Our resuIt showed that the cesarean section rate was 9.95%,which was lower than results reported in literature.The main indications were cephalopelvic disproportion,fetal distress and malposition(mainly breech presentation)The incidences of these abnormal condition were 31.29%,28.89%and 8.98%respectively.The complication rate was 9.28%,The perinatal morality was 3.0‰.The cesarean section rate,complication rate and perinatal mortality were lower than those reported by other reports.Our results showed that the cesarean section rate can be lowered if the indications were correctly chosen and the delivery trial monitored carefully.