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为探讨忽略性横位的正确处理方式,收集忽略性横位30例,对其分娩方式及预后进行回顾性分析。结果:30例中有4例行剖宫产术,17例行内倒转术,6例行毁胎术,2例自娩,另1例入院前子宫破裂。3例子宫破裂者行全子宫切除术治愈,无1例孕产妇死亡,婴儿存活9例。结论:剖宫产术是抢救胎儿的最佳方法,胎儿已死但无子宫破裂或先兆子宫破裂者,尽量行阴道分娩,具体分娩方式需视胎体嵌入骨盆之情况等因素酌情选择内倒转术、断头术或脊柱横断术。
In order to explore the correct treatment of neglect of horizontal, we collected 30 cases of neglected horizontal resection, and retrospectively analyzed its mode of delivery and prognosis. Results: In 30 cases, 4 cases underwent cesarean section, 17 cases underwent inverted operation, 6 cases underwent fetal debridement, 2 cases delivered from birth and the other 1 case had uterine rupture before admission. 3 cases of uterine rupture were cured by hysterectomy, 1 case of maternal death, 9 cases of infant survival. Conclusion: Cesarean section is the best way to rescue the fetus, the fetus is dead, but no rupture of the uterus or rupture of the uterus, vaginal delivery as far as possible, the specific mode of delivery depends on the situation of the matrix embedded in the pelvis and other factors, as appropriate, select the inverted inversion , Decapitation or spinal transection.