简介:【摘 要】目的:探讨头位难产剖宫产术中胎儿的娩出方式,减少母婴并发症,降低孕产妇、围产儿死亡率和伤残儿的发生率。方法:回顾性分析 2018年 9月至 2019年 9月我院收治的 64例头位难产剖宫产术中以臀牵引术娩出胎儿 28例,头位娩出胎儿 38例,进行分析比较母婴并发症的发生率。结果: 28例头位难产剖宫产术中以臀牵引术娩出的胎儿,无一例新生儿产伤,子宫切口延长 4例( 14.3%),产后出血 3例( 10.%); 38例头位娩出胎儿中,新生儿产伤(颅内出血) 3例( 7.9%),产妇子宫切口延长 10例( 26.3%),宫颈裂伤 8例( 21.1%),产后出血 10例( 26.3%)。结论:头位难产剖宫产术中恰当应用臀牵引术娩出胎儿,可降低母婴并发症。 【关键词】头位难产;剖宫产;臀牵引术;母婴并发症 [Abstract] Objective: To explore the delivery mode of fetus in cesarean section of cephalic dystocia, reduce the complications of mother and infant, and reduce the mortality rate of pregnant women, perinatal and disabled children. Methods: from September 2018 to September 2019, 64 cases of cesarean section with cephalic dystocia in our hospital were analyzed retrospectively. 28 cases of fetus delivered by hip traction and 38 cases of fetus delivered by cephalic position. The incidence of complications between mother and infant was analyzed and compared. Results: in 28 cases of cesarean section, there was no newborn birth injury, 4 cases of prolonged uterine incision (14.3%), 3 cases of postpartum hemorrhage (10%); in 38 cases of cephalic delivery, 3 cases of neonatal birth injury (intracranial hemorrhage) (7.9%), 10 cases of Prolonged Uterine incision (26.3%), 8 cases of cervical laceration (21.1%), and 10 cases of postpartum hemorrhage (26.3%). Conclusion: it can reduce the complications of mother and infant to use hip traction to deliver fetus in cesarean section of cephalic dystocia.
简介:【摘 要】目的:探讨头位难产剖宫产术中胎儿的娩出方式,减少母婴并发症,降低孕产妇、围产儿死亡率和伤残儿的发生率。方法:回顾性分析 2018年 9月至 2019年 9月我院收治的 64例头位难产剖宫产术中以臀牵引术娩出胎儿 28例,头位娩出胎儿 38例,进行分析比较母婴并发症的发生率。结果: 28例头位难产剖宫产术中以臀牵引术娩出的胎儿,无一例新生儿产伤,子宫切口延长 4例( 14.3%),产后出血 3例( 10.%); 38例头位娩出胎儿中,新生儿产伤(颅内出血) 3例( 7.9%),产妇子宫切口延长 10例( 26.3%),宫颈裂伤 8例( 21.1%),产后出血 10例( 26.3%)。结论:头位难产剖宫产术中恰当应用臀牵引术娩出胎儿,可降低母婴并发症。 【关键词】头位难产;剖宫产;臀牵引术;母婴并发症 [Abstract] Objective: To explore the delivery mode of fetus in cesarean section of cephalic dystocia, reduce the complications of mother and infant, reduce the mortality rate of pregnant women, perinatal children and the incidence of disabled children. Methods: from September 2018 to September 2019, 64 cases of cesarean section with cephalic dystocia in our hospital were analyzed retrospectively. 28 cases of fetus delivered by hip traction and 38 cases of fetus delivered by cephalic position. Results: in 28 cases of cesarean section, there was no newborn birth injury, 4 cases of prolonged uterine incision (14.3%), 3 cases of postpartum hemorrhage (10%); in 38 cases of cephalic delivery, 3 cases of neonatal birth injury (intracranial hemorrhage) (7.9%), 10 cases of Prolonged Uterine incision (26.3%), 8 cases of cervical laceration (21.1%), and 10 cases of postpartum hemorrhage (26.3%). Conclusion: it can reduce the complications of mother and infant to use hip traction to deliver fetus in cesarean section of cephalic dystocia.
简介:摘要目的分析骨科牵引术对下肢创伤患者的临床疗效。方法选取本科室收治的200例下肢创伤患者,按照不同治疗方法将其分为对照组与观察组各100例,对照组应用常规治疗,观察组在常规治疗的基础上采用骨科牵引术治疗,对比两组患者的治疗效果。结果对照组的优良率为71.0%,观察组的优良率为89.0%,观察组高于对照组,对比差异显著(P<0.05);对照组的骨折愈合率是71.0%,观察组的骨折愈合率是94.0%,观察组高于对照组,且观察组的骨折愈合时间短于对照组,对比差异均显著(P<0.05)。对比两组患者治疗后的VAS评分,观察组低于对照组,差异显著(P<0.05)。结论骨科牵引术对下肢创伤患者的临床疗效理想,可明显缓解疼痛,促进骨折愈合及下肢功能恢复,值得推行。
简介:摘要目的分析牙槽骨垂直牵引成骨种植术对于改善种植区域骨量的效果。方法选择我院2012年3月至2016年1月收治的重度牙槽突垂直向骨缺损患者20例,全部患者均给予牙槽骨垂直牵引成骨种植术治疗,对临床疗效进行分析比较。结果全部20例患者中,完成种植体上部结构修复的患者共12例,5例患者植入种植体,但是上部修复并没有完成,共植入68例种植体。20例患者经牵引成骨种植术治疗,新骨形成比较理想,新生骨平均高度为(12.1±0.9)mm;3例患者发生牵引区意外骨折,分别有1例患者发生种植体植入感染和牵引区感染。结论应用牙槽骨垂直牵引成骨种植术能对重度骨量不足进行有效解决,具有临床应用价值。
简介:摘要目的分析骨科牵引术对下肢创伤患者的临床疗效。方法选取本科室收治的100例下肢创伤患者,按照不同治疗方法将其分为对照组与观察组各50例,对照组应用常规治疗,观察组在常规治疗的基础上采用骨科牵引术治疗,对比两组患者的治疗效果。结果对照组的优良率为72.0%,观察组的优良率为88.0%,观察组高于对照组,对比差异显著(P<0.05);对照组的骨折愈合率是78.0%,观察组的骨折愈合率是96.0%,观察组高于对照组,且观察组的骨折愈合时间短于对照组,对比差异均显著(P<0.05)。对比两组患者治疗后的VAS评分,观察组低于对照组,差异显著(P<0.05)。结论骨科牵引术对下肢创伤患者的临床疗效理想,可明显缓解疼痛,促进骨折愈合及下肢功能恢复,值得推行。
简介:摘要目的探讨剖宫产手术过程中胎儿头娩出困难行足牵引或臀牵引的临床价值。方法选取我院2005年1月~2009年1月行头位剖宫产手术的产妇60例,均为剖宫产中胎头入盆过深而发生头娩出困难,根据剖宫产助产方式将产妇分为产钳助产组与臀(足)位牵引助产组,对比两组产妇的手术指征与不良事件发生情况。结果臀(足)位牵引组产妇相比产钳助产组,术中出血量显著减少(P<0.05),胎儿胎头娩出时间显著缩短(P<0.05),新生儿窒息率显著降低(P<0.05),子宫切口撕裂情况无显著性差异(P>0.05)。讨论应用臀或足位牵引术能够有效缓解剖宫产术中胎儿头娩出困难的情况,缩短胎儿分娩时间、减少术中出血量,减少新生儿窒息情况的发生,适合临床中广泛应用。