文档介绍：枕横位中前不均倾位37例临床分析
作者：冯冰霜，郭清清，张翠菊
【摘要】目的探讨胎头前不均倾位的发生率、诊断和处理，提 高对前不均倾位的认识。方法对我院37例前不均倾位患者的临床资 料进行回顾性分析。%;37例患者中胎 膜早破23例(62. 16%) : 14例临产后胎头不能入盆(37. 8%);原发性和继 发性宫缩乏力25例(67. 6%);产程潜伏期延长25例(67. 6%);活跃期停 滞或延长36例(97. 29%);剖宫产36例(97. 29%) ;1例经阴道分娩;无1 例发生子宫破裂；1例发生产后出血，2例发生新生儿窒息。结论胎头 前不均倾位阴道分娩难度大，产程异常发生率高，剖宫产率极高，及 时发现和识别、把握处理时机是治疗的关键。
【关键词】前不均倾位;难产喑I］宫产
【Abstract 】 Objective To explore the incidence, diagnosis and treatment of anterior asynclitism, to improve the understanding of anterior asynclitism. Methods 37 cases were analyzed retrospectively with anterior asynclitism in clinical data of pregnant women. Results The incidence of anterior asynclitism was 0. 51%;23 cases of them had premature rupture of membranes (62. 16%) ; 14 fetal heads didn't descend into the pelvis in labor(37.
8%):25 cases of them had uterine intetia (67. 6%):
25 cases had prolonged latent phase(67. 6%):the active phase of 36 cases was abnormal (97. 29%)。36 cases had been done cesarean section, no case occurred uterine rupture, one case happened postpartum hemorrhage occurs , 2 cases had neonatal
asphyxia. Conclusion The labor of anterior asynclitism was difficult, the abnormal stage was high incidence, the cesarean section rate was extremely high , timely discovering and identifying , grasping the processing time was the key to treatment.
【Key words 】 anterior asynclitism;difficult labor