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本文分析了204例臀位分娩的处理,各科臀产式与围产儿死亡及并发症的关系.包括足位79例,完全臀位85例,单臀位35例,不详5例.围产儿死亡23例(107.8%.),均系臀牵引术分娩.臀助产73例,臀牵引86例,剖宫产40例、牵引+穿颅术5例.臀牵引术围产儿死亡率及并发症最高.作者应用王氏臀位评分法进行评分,结果评分5分以下剖宫产率占44%,优于阴道分娩,(p<0.001),评分愈高,预后愈好.
This article analyzes the treatment of 204 cases of breech delivery, buttocks and hip perinatal mortality and complications, including 79 cases of full foot, 85 cases of complete breech, 35 cases of single breech, unknown in 5. Perinatal Totally 23 cases died (107.8%), all underwent hysterosalpingotomy.Hysterodynia was performed in 73 cases, hip traction in 86 cases, cesarean section in 40 cases and traction plus craniotomy in 5 cases.Patients perinatal mortality and complications The disease was the highest.The authors applied Wang’s breech score to score, and the results scored 5 points or less cesarean section rate was 44%, better than vaginal delivery, (p <0.001), the higher the score, the better the prognosis.