顶先露阴道助产265例报道

Top of the First 265 Cases of Vaginal Delivery Reports Exposed

目的探讨低位产钳术和胎头吸引术的合理选择,操作要领与并发症的预防。方法对施行产钳术的109例和胎头吸引术的156例进行对比观察和临床分析。结果产钳术109例中,出生1min内阿普加评分(Apgar score)8～10分92例,占84.4%,4～7分11例,占10%,0～3分6例,占5.5%;胎头吸引术156例中,出生1min内阿普加评分8～10分131例,占83.97%,4～7分16例占10.25%,0～3分8例,占5.12%,两组对比差异无显著性意义(P>0.05)。胎头吸引术滑脱2～3次改用产钳术18例中有6例发生头皮血肿,全组未发生新生儿死亡病例。产钳组宫颈裂伤5例,会阴侧切阴道裂口向上延伸8例。胎头吸引组未发生宫颈和阴道裂伤病例。结论严格掌握手术适应证和禁忌证,合理选择产钳术和胎头吸引术,熟练掌握手术程序和操作技巧是预防并发症的关键。

Objective To study the low Forceps and fetal aspiration of rational choice, operating essentials and prevention of complications. Methods The implementation of the 109 cases Forceps and fetal aspiration of 156 cases were compared and clinical analysis. Results Forceps 109 cases, birth rate one minute Neiepujia （Apgar score） 8-10 minutes 92 cases, accounting for 84.4%, 4-7 in 11 cases, 10%, 0-3 in 6 cases, accounting for 5.5 %; fetal head in 156 cases of aspiration, born one minute Neiepujia score 8-10 points 131 cases, accounting for 83.97%, 4-7 minutes 16 cases accounted for 10.25%, 0-3 in eight cases, accounting for 5.12%, compare the two groups showed no significant （P〉 0.05）. Fetal aspiration slip 2-3 times to switch Forceps 18 cases occurred in 6 patients the scalp hematoma, the whole group was no neonatal deaths. Forceps group of five cases of cervical laceration, episiotomy vaginal cracks extended upward in 8 cases. Fetal head did not occur to attract groups of cases of cervical and vaginal laceration. Conclusion Strict control of surgical indications and contraindications, a reasonable choice Forceps and fetal head aspiration, surgical procedures and proficiency in operating skills to prevent complications.