剖宫产术中胎儿娩出困难241例临床分析

Cesarean section delivery of the baby difficult clinical analysis of 241 cases

目的:探讨剖宫产术中胎头娩出困难的原因及处理方法。方法:对241例剖宫产术中胎儿娩出困难者(困难组)与同期以胎儿娩出顺利者241例(对照组)进行临床分析。结果:胎儿娩出困难占剖宫产术的13.91%,胎儿娩出困难的原因中胎儿因素占9.64%,子宫因素占15.77%,医源性因素占14.94%。剖宫产术中困难组造成产后出血、子宫切口异常撕裂、新生儿窒息、脏器拉伤发生率明显高于对照组,两组比较差异有统计学意义(P<0.01)。结论:剖宫产并非绝对安全,掌握明确的手术指征,具备娴熟的手术技能,沉着、冷静处理才能确保母婴安全。

Objective：To investigate the cesarean section because of fetal head was delivered and treatment difficult.Methods：241 cases of cesarean section delivery of the baby needy persons（disability group） and the smooth delivery of the baby over the same period were 241 cases（control group） clinical analysis.Results：The fetus difficulty accounting for 13.91% cesarean section,the baby was delivered reasons for the difficulties in accounting for 9.64% of fetal factors,uterine factors accounted for 15.77%,iatrogenic factors that accounted for 14.94%.Cesarean section delivery of the baby occurred postpartum hemorrhage caused by difficult group,uterine incision abnormal tear,neonatal asphyxia,organ damage were significantly higher than the smooth delivery of the baby group,the difference was statistically significant（P〈0.01）.Conclusion：The cesarean section is not absolutely safe,have clear indications for surgery,with skilled surgical skills,calm,calm handling to ensure safe motherhood.