头位难产178例临床分析

目的 总结头位难产的诊断、处理和预防.方法 对笔者所在医院2007年8月～2008年7月发生头位难产的178例病例,从发生原因、临床特点、分娩方式及对母儿的影响等方面进行回顾性分析总结.结果 头位难产发生率为18.11%,胎头位置异常122例（68.54%）,产力异常18例（10.11%）,产道异常7例（3.93%）,胎膜早破86例（48.31%）,剖宫产123例（69.10%）,胎头吸引术29例（16.29%）,自然分娩26例（14.61%）.结论 胎头位置异常是头位难产的主要原因,正确及时处理胎头与骨盆的位置关系是处理头位难产的关键,选择最佳分娩方式才能提高产科质量,保证分娩顺利和母儿安全.

Clinical analysis of 178 cases of cepalic presentation dystocia

Objective To summarize the diagnosis, treatment and prevention of cephalic presentation dystecia. Methods 178 cases of cephalic presentation dystocia took place in our hospital from Aug ：2007 to July 2008 were reviewed, analyzed and summarized in terms of the causes, clinic characteristics, delivery modes, impact upon the mother and fetus and etc. Results Cephalic presentation dystecia accounts for 18.11%, 122 cases dystocia resulting from abnormal fetal position, accounting for 68.54 % ; 18 cases were of abnormal uterine action, accounting for 10.11% ;7 cases were of abnormal birth canal, accounting for 3.93% ;86 cases are of premature rupture of membrane, accounting for 48.31% ; 1：23 cases were of caesarean section, accounting for 69.10% ;29 cases were of vacuum extraction, accounting for 16.29% ;26 cases is of natural labor, accounting for 14.61%. Condusion Abnormal position of fetal head is the first occurrence of the main reasons for dystocia. That correct and timely handling of fetal head position with the pelvis relationship is the key to dealing with the first bit of a difficult birth. To select the best mode of delivery in order to improve the quality of obstetrics and ensure the smooth delivery and the mother of child safety.