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目的 分析探讨头位难产发生的原因 ,以加深对头位难产的认识 ,提高其防治措施。方法 对1178例头位难产进行回顾性分析。结果 提示胎头方位异常占头位难产总数的 66.4 7% ,是发生难产的主要原因。产道异常及严重的胎头位置异常必须采用剖宫产结束分娩。本文剖宫产率 54.50 % ,占同期剖宫产总数的 69.18% ,本组试产结果能从阴道自娩或手术助产分娩 4 5.50 %。结论 头位难产分娩方式的选择极为重要 ,试产在头位难产是必要的 ,经过恰当处理 ,可使难产转化为顺产 ,对母婴均有利 ,严重的胎头位置异常及产道异常必需采用剖宫产结束分娩。
Objective To analyze the causes of head dystocia in order to deepen the understanding of head dystocia and improve its prevention and treatment measures. Methods A retrospective analysis of 1178 cases of head dystocia. The results suggest that fetal head position abnormalities accounted for 66.4 7% of the total head dystocia, is the main reason for dystocia. Abnormal birth canal and severe fetal head position abnormalities have to use cesarean section to end childbirth. This article cesarean section rate of 54.50%, accounting for 69.18% of the total cesarean section over the same period, the trial results of this group can be vaginal delivery or surgical midwifery delivery 4.50%. Conclusion The choice of delivery mode of dystocia is very important. Trial production is necessary in dystocia. After proper treatment, dystocia can be converted to obstetrics and gynecology, which is beneficial to both mother and baby. Abnormal fetal head position and abnormal birth canal must be adopted Palace of the end of childbirth.