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目的:探讨第二产程剖宫产术的指征及并发症情况。方法:对2005年1月～2007年12月110例第二产程剖宫产手术与同期对照组非第二产程剖宫产手术的指征及并发症发生情况进行对比分析。结果:两组手术指征前2位均为头盆不称和胎儿宫内窘迫,但是第二产程组中头盆不称数明显高于对照组。第二产程组产妇子宫切口撕裂,产后出血和产褥病率的发生率均高于对照组,差异有统计学意义(P<0.01)。腹部切口感染发生率两组相比差异无统计学意义(P>0.05)。娩出胎头困难和新生儿窒息发生率均高于对照组,差异有统计学意义(P<0.05)。结论:第二产程剖宫产术并发症发生高于其他时期剖宫产术,应对临产后的产妇头盆情况进行全面的评估,正确选择分娩方式,减少第二产程剖宫产术。
Objective: To investigate the indications and complications of cesarean section in the second stage of labor. Methods: From January 2005 to December 2007 110 cases of cesarean section in the second stage of labor with the same period of non-cesarean section in the second stage of labor indications and complications were compared. Results: The first two cases of operation indications were both cephalopelvic disproportion and fetal distress, but the number of cephalopelvic disproportion in the second stage of labor was significantly higher than that in the control group. The incidence of torn incision, postpartum hemorrhage and puerperal rate in the second stage of labor was higher than that in the control group, the difference was statistically significant (P <0.01). The incidence of abdominal incision infection was no significant difference between the two groups (P> 0.05). The difficulty of delivery of fetal head and neonatal asphyxia were higher than the control group, the difference was statistically significant (P <0.05). Conclusions: The incidence of cesarean section in the second stage of labor is higher than that of cesarean section in other periods. Comprehensive assessment should be conducted on the situation of the first stage of labor and the correct choice of mode of delivery to reduce the second stage of cesarean section.