摘要
目的重新评价产钳术在阴道助产中的地位。方法对387例产妇实施产钳阴道助产。低位产钳219例(56.59%),低中位产钳152例(39.28%),高中位产钳16例(4.13%)。结果386例产钳成功,成功率99.74%。不同类型产钳术对母婴的影响:低位、低中位及高中位产钳造成母体并发症分别为10.04%、56.58%及119%,三者比较有显著性差异,(P<0.001)。低位、低中位及高中位产钳造成新生儿并发症分别为10.5%、26.32%及137.5%。三者比较有显著性差异,(P<0.001)。结论产钳主要限于低位及低中位产钳,对高中位产钳应取审慎态度。正确合理的使用产钳,可减少母婴并发症。在头位难产中,为抢救胎儿,保护母体,及时结束分娩,产钳术是安全的,是每个产科医师必须掌握的助产方法之一。
Objective： To re-evaluate the status of assisted vaginal delivery by obstetric forceps. Methods： 387 pregnant women delivered by obstetric forceps. 219eases （56. 59% ） delivered by low forceps. 152 cases （39. 28% ） delivered by low mid forceps. 16 cases （4. 13% ） delivered by high mid forceps. Results： Obetetrie forceps were successfully done in 386 cases （99.74%）. The effects of different kinds of obstetric forceps on the pregnant women and fetuses： The maternal complications caused by low forceps, low mid forceps, high mid forceps were as follows： low forceps group, 10. 04% ; low mid forceps, 56. 58% ; high mid forceps group, 119%. There is significant difference in three groups （ P 〈0. 001 ）. The neonatal complications caused by low forceps, low mid forceps, high mid forceps were as follows ： low forceps group, 10. 5% ; low mid forceps group, 26. 32% ; high mid forceps group, 137.5%. Significant difference was found in three groups （ P 〈0. 001 ）. Conclusion： Low forceps and low mid forceps were mainly used. We hold a scrupulous altitude to high mid forceps. The matermal and fetal complications can be reduced by using obstetric forceps correctly and rationally. When fetal cetal cephalic presentation dystocia, assisted vaginal delivery by obstetric forceps is a safe method which must be grasped by every obstetrician in order to rescue fetuses, protect mothers, terminate the pregnancy in time.
出处
《中国优生与遗传杂志》
2007年第3期63-64,66,共3页
Chinese Journal of Birth Health & Heredity
关键词
产钳术
阴道
助产
Forceps
Assisted vaginal delivery
