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历年来,我科对持续性枕横位(DTA),持续性枕后位(POPP)的处理中,均为催产素加强产力配合胎头吸引器、产钳助产或行剖宫产术,手术产率达95.1％以上。1994年我科对81例这两种异常胎位,首先采用徒手旋转胎位,此方法使手术率及产伤率明显下降,产程缩短。 1 资料与方法 1.1 研究对象 徒手转位组:1994年81例持续性枕横位及枕后位(头盆评分≥6分),无产科并发症及合并症,进行徒手旋转胎位。 对照组:抽取1990年至1993年这两种异常胎位、相同条件未行徒手转位者81例。 1.2 方法 (1)常规消毒铺巾,转位需在破膜后,宫缩间隙进行,操作宜轻柔。(2)宫口开至4～5cm以上,胎
Over the years, our department for persistent occipital transverse position (DTA), persistent posterior position (POPP) in the treatment, are oxytocin to enhance the force with fetal head suction device, forceps midwifery or cesarean section, Surgery yield of 95.1% or more. In 1994, our department of 81 cases of these two abnormal fetal position, the first use of hand-free rotation of the fetal position, the method of surgery and injury rate was significantly reduced, shorten the birth process. 1 Materials and Methods 1.1 Study object Manual transposition group: 81 cases of continuous occipital transverse position and occiput posterior position in 1994 (head basin score ≥ 6 points), obstetrics complications and complications, hand rotation of the fetal position. Control group: extracted from 1990 to 1993 these two abnormal fetal position, under the same conditions without manual transposition in 81 cases. 1.2 Methods (1) conventional disinfection shop towel, translocation required after rupture of membranes, contractions clearance, the operation should be gentle. (2) Miyaguchi open to more than 4 ~ 5cm, fetal