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tu shou xuan zhuan tai tou zai chi xu xing zhen hou wei zhong de ying yong
Author(s): 
Pages: 38-39
Year: Issue:  6
Journal: CHINA MEDICAL HERALD

Keyword:  持续性枕后位徒手旋转胎头剖宫产率;
Abstract: 目的:分析持续性枕后位的特点以及诊断依据,探讨在持续性枕后位的情况下减少母儿损伤,降低剖宫产率的方法.方法:对自1999年10月~2006年8月在昌平区回龙观镇医院住院分娩期间发生持续性枕后位的179例孕妇,在产程不同时期应用徒手旋转胎头术.结果:徒手旋转胎头成功者139例,占77.65%,其中顺利经阴道分娩的有127例,其余12例孕妇经产钳或胎吸助产分娩;徒手旋转胎头不成功,最终行剖宫产术40例,占22.35%.在产程活跃期手转胎头成功率86.59%,宫口开全后手转胎头成功率70.10%.结论:临产后需密切观察产程,及早发现持续性枕后位,及时行徒手旋转胎头至枕前位,对减少母儿并发症和降低剖宫产率有重要意义.
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