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目的比较头低位剖宫产术不同体位及方法对手术效果的影响。方法分析某院行头低位剖宫产术时分别采用平卧位和截石位上顶固定式两种不同的体位及术式对剖宫产术中胎头娩出时间、子宫切口延裂、术中出血量、术后切口愈合、新生儿窒息的影响。结果截石位上顶固定式剖宫产术与平卧位剖宫产术相比明显降低了切口延裂的发生率,减少了剖宫产术中出血量和新生儿窒息的发生率,没有增加术后切口感染的发生率。结论头低位剖宫产术时采用截石位上顶固定式剖宫产术式安全、简单、有效,值得临床应用推广。
Objective To compare the effect of different position and method of head low cesarean section on surgical outcome. Methods Analysis of a hospital low head cesarean section were used supine position and the lithotomy position on the top two different positions and surgical procedures on cesarean section fetal head delivery time, uterine incision rupture, intraoperative Bleeding, postoperative wound healing, neonatal asphyxia. Results The lithotomy position on the top fixed cesarean section compared with the supine cesarean section significantly reduced the incidence of incision, reduce the bleeding in cesarean section and the incidence of neonatal asphyxia, without Increase the incidence of incision infection. Conclusion The first low cesarean section using the lithotomy position on the top fixed cesarean section safe, simple and effective, it is worth promoting the clinical application.