摘要
目的:分析会阴Ⅲ度裂伤的原因,预防减少其发生,以提高产科质量。方法:通过会阴Ⅲ度裂伤的临床资料,分析其原因及其它因素的关系。结果:会阴Ⅲ度裂伤在会阴切开组的发生率为028 % ,远高于未切开组005 % ( P< 001) 。手术助产17 例,占56 % ,保护会阴不当13例,占43 % 。结论:会阴切开是Ⅲ度裂伤的诱因,保护会阴是预防Ⅲ度裂伤的关键。胎儿较大、会阴水肿、外阴炎是Ⅲ度裂伤的高危因素。
Objective:To analysis the etiology of the third degree laceration of perineum and prevent or decrease its occurence and promote the quality of obstetrics.Methods:To investigate the relevant factors of third degree laceration of perineum by retrospective analysis of clinic imformations.Results:The incidence of third degree laceration of perineum in perineotomy is 0.28%.It is much higher than that of the control group which is 0.05%(P<0.001),17 cases (57%)suffer from forceps delivery or ventouse ,and 13 cases (43%) suffer from improper perineal protecting.Conclusion:Perimeotomy is inductive factor of third degree laceration of perineum.Perineal protecting is the key to prevent third degree laceration.Fetal macrosomia,perineal edema,vulvitis are the high risk of third degree laceration perineum.
出处
《河北医学》
CAS
1999年第10期21-23,共3页
Hebei Medicine
关键词
会阴裂伤
Ⅲ度
病因
防治
Perineum
Laceration
Third degree