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既往我们在行子宫下段剖宫产术时,对于先露在坐骨棘水平以下,特别有产程经过的产妇,时常因取头困难而增加了子宫切口撕裂的发生,增加了手术难度和出血机会。近两年来,我们采用左手勾取胎头法,减少了这些并发症的发生,取得了良好效果,现介绍如下: 1 临床资料 自1996年7月～1999年6月,我们对60例先露低下的剖宫产病人(研究组)进行了观察,年龄均在21～30岁之间,均为初产妇,均经过阴道试产。为了便于研究,均选取头先露。S~(+1.5)9人,S~(+2)16人,S~(+2.5)32人,S~(+3)人,而这3人是坚决拒绝阴道助产而急行剖宫产的。手术指征分别为:第二产程
In the past when we underwent uterine segment cesarean section, for the first exposed in the level of the ischial spine, in particular the maternal process through the often difficult to increase the incidence of uterine incision, increasing the difficulty of surgery and bleeding opportunities . In the past two years, we have adopted the left hand fetus fetus method to reduce the incidence of these complications, and achieved good results, are as follows: 1 clinical data from July 1996 to June 1999, we show 60 cases Low cesarean section patients (study group) were observed, both aged 21 to 30 years old, all primipara, have been vaginal trial production. In order to facilitate the study, are the first choice of the first show. S ~ (+1.5) 9 people, S ~ (+2) 16 people, S ~ (+2.5) 32 people, S ~ (+3) people, and these 3 people are resolutely refused vaginal delivery and urgent cesarean section of. Surgical indications were: the second stage of labor