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目的:探讨剖宫产术中头位胎头娩出困难的原因及对策。方法:对126例剖宫产术中胎头娩出困难进行回顾性分析。结果:胎头娩出困难患者中以胎头高浮为主要原因40例,占31.75%,其次为胎头深定29例,占23.02%,麻醉不满意17例,占13.49%,腹壁切口或子宫切口小15例,占11.90%,巨大儿14例,占11.11%,其他,术者与助手手术配合不协调,术者取头的手法缺乏科学性,经验不足11例,占8.73%。结论:剖宫产手术中,应充分估计各种娩头困难的原因,积极采取有效的处理方法,对减少母婴并发症至关重要。
Objective: To investigate the causes and countermeasures of the difficulties in the delivery of fetal head during cesarean section. Methods: 126 cases of cesarean section in the fetal head delivery difficulties were retrospectively analyzed. Results: 40 cases (31.75%) were mainly caused by fetal head floating in patients with difficult fetal head delivery, followed by 29 cases with deep fetal head (23.02%), 17 cases not satisfied with anesthesia (13.49%), abdominal incision or uterus Incision in 15 cases, accounting for 11.90%, macrosomia in 14 cases, accounting for 11.11%, other, surgery and assistant surgery incompatibility, the surgeon’s lack of scientific approach, the lack of experience in 11 cases, accounting for 8.73%. CONCLUSIONS: In cesarean section surgery, the causes of various head problems should be fully estimated and active treatment measures should be taken aggressively to reduce the maternal and infant complications.