会阴Ⅲ度撕裂17例分析

An Analysis on 17 Cases of III Degree perineum Laceration

目的 :分析会阴Ⅲ度撕裂的发生原因 ,探讨其防治措施。方法 :回顾分析10年间发生的17例会阴Ⅲ度撕裂的病历资料。结果 :阴道手术助产不当是其发生的主要原因。手术后肛门括约肌的功能均恢复较好。结论 :阴道手术助产应遵循分娩机制 ,发现会阴Ⅲ度撕裂应及时、合理的修补缝合。

Objective:To analyze the causes of III degree perineum laceration and to study its prevention and treatment.Method:The data of 17 cases of III degree perineum laceration in the past 10 years were retrospectively analyzed.Results:The main cause of perineum laceration was inadequate vaginal operation.The function of anus sphincter in the patients recovered well in postoperation.Conclusions:Vaginal operation to help labor should follow the mechanism of labor.When III degree of perineum laceration occurs,we should repair and suture it in time.The key of operating plerosis is to fund anus sphincter.