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我院1987年1月至1989年4月行会阴直切皮内缝合术分娩816例.此法操作简便,效果满意,现报道如下.资料与方法一般资料:本组初产妇731例,经产妇85例.适应证:会阴体稍高,第二产程胎头着冠的时间较长或估计有会阴破裂可能者.禁忌证:会阴过短,阴道急性炎症,皮肤弹性极差,巨大儿及欲行产钳,臀位牵引术助产者.方法:外阴皮肤常规消毒.当胎头着冠后,行会阴直切开,长约1.5～25cm.注意保护会阴,当胎头着冠时最好稍控制一下,使胎头缓缓娩出.保护会阴要得力,不能有丝毫的麻痹,以防切口延伸致会阴Ⅲ~°裂伤.待胎儿娩出后检查切口情况,用生理盐水200ml加庆大霉素8万U 冲洗切口,以0号肠线从切口顶端上0.5cm 缝合阴道粘膜,缝合最后一针打结,剪断肠线.连续缝合切口的皮下组织,最后行皮内缝合,一般
Our hospital from January 1987 to April 1989 perineal incision straight skin suture delivery of 816. This method is simple and satisfactory results are reported below.Materials and methods General information: The group of primogenial 731 cases, the mothers 85 cases. Indications: the perineal body is slightly higher, the second stage of labor fetal head longer crown or the estimated probability of rupture of the perineum. Contraindications: perineal short, acute vaginal inflammation, skin elasticity is very poor, Interventional forceps, breech traction midwifery method: genital skin routine disinfection.When the fetal head after the crown, the line of the perineal straight cut, about 1.5 ~ 25cm.Pay attention to the protection of the perineum, the best when the fetal head crown slightly Control, so that the fetal head was slowly delivered to protect the perineum to be effective, can not have the slightest paralysis, to prevent the extension of the incision caused by perineal Ⅲ ~ ° laceration .Will be checked after fetus incision, with saline 200ml plus gentamycin 80,000 U rinse the incision to 0 gut 0.5 cm from the top of the incision suture the vaginal mucosa, suture the last needle knot, cut the gut. Continuous suture incision subcutaneous tissue, and finally the line of suture, the general line