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目的探讨剖宫产中娩头困难原因与子宫切口的选择。方法选取鹿邑县人民医院2013年6月—2014年6月间收治的108例施行剖宫产的患者,分析娩头困难的产生原因以及子宫切口的选择位置。结果患者子宫下段出现撕裂的有14例,裂伤率为22.58%,整个过程中未发生膀胱损伤与输尿管损伤。8例新生儿出现轻度窒息,2例出现重度窒息,新生儿窒息率为16.12%,经过及时有效的治疗,母婴全部治愈出院。导致剖宫产中娩头困难的原因为胎头于骨盆中深陷、胎头高浮、巨大儿与麻醉效果不满意。结论剖宫产手术中根据患者实际情况选择合理的子宫切口十分必要,子宫切口的正确选择可以促使胎儿于子宫内顺利娩出,并有效减少并发症产生。
Objective To explore the causes of cesarean delivery and the choice of uterine incision. Methods 108 cases of cesarean section patients who were treated in Luyi County People’s Hospital from June 2013 to June 2014 were selected to analyze the causes of head distress and the location of uterine incision. Results In the lower uterine segment, there were 14 cases of torn laceration and the rate of laceration was 22.58%. There was no bladder injury and ureteral injury in the whole process. 8 cases of neonatal mild asphyxia, 2 cases of severe asphyxia, neonatal asphyxia was 16.12%, after timely and effective treatment, all maternal and child cured. Lead to cesarean delivery head difficult because of fetal head deep in the pelvis, fetal head floating, giant children with the anesthetic effect is not satisfied. Conclusion In cesarean section operation, it is necessary to select a reasonable uterine incision according to the actual situation of patients. The correct choice of uterine incision can promote the smooth delivery of the fetus in the uterus and reduce the complications.