为了提高助产质量 ,减轻会阴裂伤给产妇带来的痛苦 ,笔者在临床实践中 ,运用徒手扩张阴道与托肛法相结合的方法保护会阴 ,大大降低了会阴裂伤率和会阴侧切率 ,效果较好 ,现报告如下。1　资料与方法1 1　病例选择　 1996年 1月～ 1998年 12月 ,在我院住院的孕 37～ 42周头位初产 In order to improve the quality of midwifery and alleviate the pain caused by the perineal laceration, the author in the clinical practice, the use of bare hands to expand vaginal and anal anal method to protect the perineum, greatly reducing the rate of perineal laceration and perineal lateral cut rate, the effect Better, now report as follows. 1 Materials and Methods 1 1 Case Selection January 1996 ~ December 1998, in our hospital 37 to 42 weeks pregnant primipara