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在产科临床上,我们常可遇见一些骨盆及产力正常,胎儿不过大,胎位正常,胎头能随宫缩加强而下降,但宫口却不能按时限开大,致使产程延长,又不能施行任何阴道助产手术,不得己只好剖宫产术结束分娩。为了既能保证母婴安全,又不增加剖宫产率,近十余年来,我们采用手指扩张宫颈法,取得了满意效果,现介绍如下。指征及方法1.子宫颈外口粘合:随宫缩力的不断加强,宫颈管可以展平以至消失,但子宫外口并不开大。肛查时觉眙头被一薄层组织紧裹,宫口似已开全。内诊时可在近骶骨凹处触到子宫颈外口,呈一小孔。方法:术者做必要的阴道检查后,将食指尖端触压小孔状的外口后不久,便可使外口很快扩张能通入指尖、
In obstetrics and gynecology, we often encounter some pelvic and normal labor, the fetus is not too large, normal fetal position, fetal head with the contractions stronger and lower, but the cervix can not open the time limit, resulting in prolonged labor, but also can not be implemented Any vaginal midwifery surgery may not have had cesarean delivery ended. In order to ensure the safety of mother and baby, without increasing cesarean section rate, the past ten years, we use finger dilatation of the cervix, and achieved satisfactory results, are presented below. Indications and methods 1. Cervical external orifice adhesions: With the continuous strengthening of the uterine contractions, cervical canal can be flattened or even disappear, but the mouth is not open uterus. Anal check sleepy head was a thin tissue tightly wrapped, cervix seems to have opened all. Visible near the sacral pouch can touch the cervix outside the mouth, was a small hole. Methods: The surgeon to do the necessary vaginal examination, the tip of the index finger touch small hole-shaped mouth soon after the mouth can be quickly expanded to access the fingertips,