骨盆倾斜度过大对妊娠结局的影响.pdfVIP

· 临床研究 · 2008年7月第5卷第2l期 骨盆倾斜度过大对妊娠结局的影响 王春霞 (吉林省吉林市船营区妇幼保健院，吉林吉林 132011) 【摘要】目的：探讨骨盆倾斜度过大产妇产时的临床表现和纠正机制。方法：①用骨盆倾斜度测量器测量骨盆倾斜 度，选择骨盆、脊柱无畸形，头盆评分8分，枕前位、单胎90例，以正常产程图为观察标准，观察分娩全过程。②观 察90例早孕至产前、产前至产后各期孕妇骨盆倾斜度变化。结果：当测量仪测量骨盆倾斜度I53。(为倾斜度过 大)，发生率为7．8％，主要临床表现有：悬垂腹，跨耻征假阳性，胎头衔接困难或停滞，会阴重度裂伤。结论：骨盆倾 斜度过大是由于腰骶角增大所致。分娩时胎轴压力线指向耻骨联合与骨盆轴不在一条直线上，造成胎头衔接困难 或停滞。取膀胱截石位使腰骶角变小骨盆倾斜过大得到纠正，提高了阴道分娩率和质量。 【关键词1骨盆；骨盆倾斜度；难产 【中图分类号】R714 【文献标识码】A 【文章编号1 1673—7210(2oo8)07(c)-cl44一-02 Mechanism of dystocia due to excessive pelvic inclination and its correction WANG C Mn— (Materuity and Child Health Hospital of Chuanying District，Jilin 13201 1,China) 【Abstract]Objeeave：To explore the clinical manife：station of excessive pelvic inclination and mechanism of its COITeC— tion．Methods：①Pelvic inclination angles were measured with an inclinometer in 90 singleton pregnant women whose eephalopelvie score is 8．occiput anterior position．and without malformation of pelvis and spine．The clinical manifesta tion was inspected throughout delivery．(~)Variations of pel vic inclination were also inspected in 90 pregnant women from early pregnancy to antepartum．and to postpartum．Results：Excessive pelvic inclination means53 degrees in inch— nometer，the prevalence rate was 7．8％．The main manifestations included：pendulous abdomen，positive span pubis sign， nonengagement of fetal head，and severe perineum laceration．Conclusion：Excessive pelvic inclination is caused by en— largement of lumbersaeral angle．Head pressure axis directing at pubic is not on the sanle line with the pelvic axis during delivery，which lead to nonengagement of fetal head