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目的:探讨剖宫产术中胎头高浮、娩头困难时的最佳处理技巧,避免新生儿窒息的发生。方法:选择2008年9月—2010年9月剖宫产术中胎头高浮、娩头困难者322例,随机分两组,A组采用子宫下段纵切口,B组采用子宫下段横切口。结果:A组方法较B组方法娩头时间短,新生儿窒息率明显低,手术时间短。结论:剖宫产术中,对于胎头高浮采取子宫下段纵切口的方法可缩短出头时间、降低新生儿窒息率,母儿并发症少,安全性大大提高,值得临床推广应用。
Objective: To explore the best treatment technique in the case of high fetal head during cesarean section and difficulty in giving birth, and avoid the occurrence of neonatal asphyxia. Methods: From September 2008 to September 2010, 322 cases of fetal head floating and delivery difficulties in cesarean section were randomly divided into two groups. Group A received a longitudinal incision in the lower uterine segment and group B received a transverse incision in the lower segment of the uterus. Results: Compared with group B, group A had shorter head delivery time, newborn asphyxia rate and shorter operation time. CONCLUSION: In cesarean section, the method of taking the lower uterine segment longitudinal incision for high fetal head can shorten the initial time, reduce the asphyxia rate of newborn, less maternal and child complications and greatly improve the safety, which is worthy of clinical application.