原位置入枕横位产钳术式的探讨

On the way of using obstetric forceps at occipital-cross position.

产钳助产目前仍为处理头位难产的一种有效助产方法,并在不断改进、完善.我院自1989年至1994年,对持续性枕横位所致难产者,采用原位置入枕横位产钳术助产,同时与手转胎头复位后再行产钳术的产妇,在产道裂伤、生殖道瘘、新生儿颅内出血、颅骨骨折、头面部软组织损伤等方面进行比较.结果:前者产道裂伤、新生儿头面部软组织损伤明显低于后者.在临床应用中我们认为原位置入枕横位产钳助产术较要全,对母婴损伤较少,是处理枕横位难产的一个较安全、有效的助产方法.

From 1989 to 1994, the GHGM had been applying the way of using forceps at remained occipital-cross position to assist occipital-cross dystocia lying-in women and had the way compared with using forceps after had the fetal head turned to normal position by hand in respects of lying-in women vaginal splitting injury, vaginal fistulas the new born infant beleeding in skull, skull fracture and facial soft tissue damage; etc. It has been fount that, with the way of using forceps at occipital-cross position, the occurrence of vagial splitting injury to lying-in women and facial soft tissue damage to the new born infant is obviously less than what is with the way of using forceps after had the fetal head turned to normal position by hand.In clinical applying, the writer believes the way of using forceps at occipital-cross position is a more safe and efficient way of handling dystocia for its less opportunity of harm to lying-in women and the new born infants.