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会阴切开缝合术(Ep)为产科常用手术,其目的是顺利分娩、缩短第二产程、预防会阴Ⅲ度撕裂、避免产后盆底松驰。我院1991年10月～1996年4月共行Ep625例,其中发生会阴切口裂开30例,占Ep的4.8％,现就发生情况及预防方法介绍如下。1 临床资料1.1 年龄、孕周、产次的分布年龄最小22岁、最大42岁,平均29.3岁。孕周分布为32～42周,其中孕40周±最多。均为头胎分娩。1.2 妊娠并发症 过期妊娠1例、枕横位1例、胎盘早剥1例、外阴营养不良2例、臀位4例、妊娠高血压综合征4例、第二产程延长5例、胎儿窘迫6例、会阴发育不良6例。
Perineal incision suture (Ep) is a commonly used obstetric surgery, which aims to smooth delivery, shorten the second stage of labor, to prevent perineal third degree tear, to prevent postpartum pelvic relaxation. Our hospital from October 1991 to April 1996 Ep625 cases, of which 30 cases of episiotomy incision occurred, accounting for 4.8% of Ep, now the occurrence and prevention methods are described below. 1 clinical data 1.1 age, gestational age, parity distribution of the youngest 22 years old, maximum 42 years old, average 29.3 years old. Gestational distribution for the 32 ~ 42 weeks, of which pregnant 40 weeks + up. Are the first childbirth. 1.2 pregnancy complications in 1 case of pregnancy, occipital transverse position in 1 case, 1 case of placental abruption, genital malnutrition in 2 cases, 4 cases of breech, pregnancy induced hypertension syndrome in 4 cases, prolonged in the second stage of labor in 5 cases, fetal distress 6 Cases, 6 cases of perineal dysplasia.