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为了解臀位剖宫产并发新生儿骨折的产科因素及其防治措施,回顾性分析了四所医院20年间发生的10例臀位剖宫产并发新生儿骨折病例,发现其骨折部位以股骨骨折为主,多发生于急诊手术中,与择期手术骨折发生率相比较,P<0.01;臀先露为足时骨折发生率高,术者为初级职称时骨折发生率高,与其它臀先露方式及术者为中高级职称比较,P<0.05。据此提出了应加强技术培训、重视分娩机转等防治臀位剖宫产并发新生儿骨折措施。
In order to understand the obstetric factors of cesarean section with neonatal fracture and its prevention and treatment measures, retrospective analysis of 10 cases of breech cesarean section complicated with neonatal fracture occurred in four hospitals in 20 years, and found that the fracture site to femoral fracture Mainly occurred in emergency surgery, compared with the incidence of elective surgery fracture, P <0.01; hip when exposed to the foot of a high incidence of fractures, surgery for primary titles, the high incidence of fractures, and other gluteal exposure Methods and technique for the senior professional titles, P <0.05. Accordingly, it is suggested that measures should be taken to strengthen technical training, pay attention to the mechanism of birth and other prevention and treatment of cesarean section with newborn fractures.