双胎妊娠44例临床分析

• 作 者: 李秋香 谷丽娟 侯金华
• 机 构: 河南郑州长城铝业公司总医院妇产科,河南郑州长城铝业公司总医院妇产科,河南郑州长城铝业公司总医院妇产科 450041,450041,450041
• 出 处: 中国局解手术学杂志
• 发表日期: 1998年03期
• 关键词: 双胎妊娠 剖宫产术 常规剖宫产 产力异常 胎位异常 臀位 手术产率 阴道分娩 妊娠并发症 围产儿

本文对我院1990～1995年间44例双胎妊娠的分娩方式进行了分析。指出双胎妊娠由于胎位异常、产力异常及妊娠并发症多等因素,难产及手术产率均较单胎明显增高。在25例经阴道分娩的双胎中,阴道手术产率为64％,本组双胎剖宫产率为43.22％。本文认为双胎妊娠的分娩方式应掌握以下原则:当第一胎儿为臀泣、第二胎位为头位,尤其是胎儿较大、羊水较少时,应考虑剖宫产。而单纯的第二胎儿臀位可以经阴道分娩,不必常规剖宫产。

This article analyzes the mode of delivery of 44 cases of twin pregnancy in our hospital from 1990 to 1995. Pointed out that twin pregnancy due to abnormal fetal position, abnormal labor and pregnancy complications and other factors, dystocia and surgical yield were significantly higher than singleton. In 25 cases of vaginal delivery of twins, vaginal surgery was 64%, the twin cesarean section rate was 43.22%. This article believes that twin pregnancy delivery mode should have the following principles: when the first fetus is the buttocks, the second position for the first bit, especially when the fetus is larger, less amniotic fluid, cesarean section should be considered. The simple second breech can be vaginal delivery, without the usual cesarean section.