不缝合脂肪在妇科纵切口手术中的临床观察.pdfVIP

昆 明 医学院学报 2012 ，（3 ）：113 114 CN 53 - 1049 R Journal of Kunming Medical University 368 臀位孕妇分娩方式与结局临床分析 艳杰，彭鸿英 曲靖医学高等专科学校，云南曲靖 655000） ［摘要］ 目的 观察368 例臀位孕妇的分娩方式与结局．方法 比较剖宫产分娩的臀位产妇和阴道分娩的臀 位产妇的母婴并发症、死亡率．结果 剖宫产组新生儿Apgar 评分≤3 分和4 ～7 分者的比例、新生儿窒息率、骨 折率、臂丛神经损伤率、颅内出血率和死亡率显著低于阴道分娩组（ ＜0.01），产后出血率和产褥感染率显著高 于阴道分娩组 （＜0.01 ）．结论 应全面根据臀位产妇的情况选择适合的分娩方式． ［关键词］臀位妊娠；分娩方式；剖宫产；阴道分娩 ］ + ］ ］ ［中图分类号 R7 14.15 1 ［文献标识码 A ［文章编号 1003 －4706 （20 12）03 －01 13 －02 Mode of Delivery and Its Outcomes in 368 Women with Breech Presentation WANG Yan －jie ，PENG Hong －ying （Quj ing Medical College ，Quj ing Y unnan 655000 ，China） Abstract］Objective To investigate mode of delivery and its outcomes in 368 women with singleton breech presentation．Method Maternal and neonatal outcomes were measured in women with breech presentation who accepted caesarean section and who accepted vaginal delivery．Results The incidence rate of low Apgar score ， neonatal asphyxia ，fracture ，brachial plexus injury ，intracranial hemorrhage and mortality in caesarean section group were significantly lower than vaginal delivery group （ ＜0.01），while the incidence rate of postpartum hemorrhage and puerperal infection was significantly higher than vaginal delivery group （＜0.01 ）．Conclusion Mode of delivery should be chosen according to individual condition of women with breech presentation. Key words］Breech presentation ；Mode of delivery ；Caesarean section ；Vaginal delivery ， 幼医院和曲靖市第二人民医院住院分娩的单胎臀位 臀位是临床最常见的异常胎位 发生率约占妊 娠足月分娩总数的3% ～4% ，分娩时易导致后出胎 孕妇368 例，其中初产妇238 例，占64.67% ，经 头困难、胎膜早破、脐带脱垂、宫缩乏力等并发症 产妇