子宫纵切口加臀牵引助产在剖宫产术中的应用

Application of Vertical Uterine Incision with Hip Traction Midwifery in Cesarean Section

目的：探讨纵切口加臀牵引助产在剖宫产术中的应用。方法：从阿尔及利亚马斯卡拉省立医院妇产科采集，收集2010年11月-2012年11月3556例剖宫产的数据资料，并对其中采用子宫纵切口加臀牵引助产术式75例与对照组75例的临床资料进行分析比较。结果：子宫纵切口加臀牵引助产术式，从手术开始到胎儿娩出时间、手术总时间、术中出血量等明显低于对照组；两组在子宫切口延长损伤及子宫切口愈合差异比较有着显著的统计学意义（P〈0.01和P〈0.05）。结论：子宫纵切口加臀牵引助产娩胎儿容易，可避免子宫下段严重损伤，减少母儿并发症的发生。

Objective：To investigate the longitudinal incision hip traction midwifery in cesarean section.Methods：From the Algeria Provincial Hospital of Obstetrics and Gynecology acquisition mascara, data collected in November 3 556 cases of cesarean section in 2010 November-2012 years, and the use of uterine longitudinal incision and buttock drawing midwifery 75 cases and control group of 75 cases of clinical data were analyzed and compared.Results：The delivery time（from the beginning of surgery to fetus）, total surgery time and blood loss of the cesarean section which operated with longitudinal uterine incision and hip traction midwifery style, were significantly lower than the control group, while the extended injury of uterine incision and incision healing were proved to be statistically significant （P〈0.01 and P〈0.05）.Conclusion：Longitudinal uterine incision with hip traction midwifery make an easy childbirth, avoid serious injury of the lower uterine segment, and reduce the incidence of complications of mother and child.