Kielland产钳在持续性枕后位中的应用

目的 评估Ｋｉｅｌｌａｎｄ产钳对持续性枕后位进行反置上钳旋转胎头的安全性及可行性。方法 对１００例胎头双顶径已达或已过坐骨棘水平的持续性枕后位产妇，用Ｋｉｅｌｌａｎｄ产钳进行反置上钳旋转胎头产钳术。结果 成功率１００％，母体软产道损伤１７％，新生儿损伤１２％，无会阴Ⅲ度裂伤，无后穹窿，宫颈，膀胱损伤及子宫破裂，无新生儿颅内出血及死亡等严重并发症，结论 Ｋｉｅｌｌａｎｄ产钳反置上钳旋转胎头术用于双顶

Application of Kielland forceps in persistent occipitoposterior position

Objective\ To evaluate the safety and feasibility of reverse putting of Kielland forceps in rotating the persistent occipitoposterior position.Methods\ Reverse putting of Kielland forceps was used to rotate the persistent occipitoposterior position in 100 pregnant women when biparietal diameter of the fetal head had reached or passed the ischial spine.Results\ The successful rate of the operation was 100%,the injury rate of maternal soft birth canal was 17%,and the injury rate to the neonates was 12%.No severe complications occurred,such as 3 rd degree laceration of perineum,injury of posterior fornix,cervix and bladder,uterine rupture,intracranial hemorrhage or death of the neonates.Conclusions\ It was a safe,convenient and feasible method using reverse putting of Kielland forceps in rotating the persistent occipitoposterior position when the biparietal diameter of the fetal head had reached or passed the ischial spine,and it could decrease the cesarean rate in some degree.