胎头高直位的诊断及处理(附35例临床分析)

Diagnosis and treatment of sincipital presentation of fetal head: a clinical analysis of 35 cases

对 35例胎头高直位进行回顾性分析。结果显示 :35例高直位中 ,高直前位 5例 ,3例剖宫产 ,2例为阴道分娩 ;高直后位 30例均剖宫产。认为高直前位时 ,如骨盆正常、胎儿不大、产力强 ,应等候自然转位 ,失败后施行剖宫产 ;而高直后位一旦诊断即施行剖宫产 。

patients with sincipital presentation of fetal head were retrospectively analyzed. Results showed that five were of oecipitopubic position ( 3 of which had undergone cesarean section and 2 had vaginal delivery); meanwhile, 30 with occipitosacral position had undergone cesarean section. This data suggests that sincipital presentation of fetal head with normal pelvis, normal fetus and strong force of labor should wait for the natural transposition, but cesarean section should be carried out when transposition failure and in the case of occipitosacral position in order to reduce the mother and infant complication.