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目的:探讨再次剖宫产术中双叶小产钳助产较传统术式的优势。方法:分别通过对再次子宫下段剖宫产娩头困难的临床病例采用徒手与剖宫产产钳两种方法娩头,分析在再次子宫下段剖宫产术中运用剖宫产产钳娩头的利弊。结果:该方法操作简便、娩胎快捷、母婴并发症少、一次成功率高。结论:在再次子宫下段剖宫产的手术中,适时地使用剖宫产产钳可以较好地处理娩头困难,避免因U-DI(子宫切开至胎儿娩出的时间)延长所导致的新生儿窒息,也不会因为产钳的使用而造成新生儿面部的损伤和子宫下段的裂伤的增加。
Objective: To explore the advantages of double-leaf small-force forceps in re-cesarean section compared with traditional surgical procedures. METHODS: The pros and cons of caesarean section using cesarean section in the second uterine cesarean section were analyzed respectively by two methods: bare hands and cesarean section. Results: The method is simple, fast delivery, less maternal and child complications, a high success rate. CONCLUSIONS: Cesarean section-assisted forceps can be used to treat the delivery head trouble in the second cesarean section, and to avoid neonatal infants caused by the prolonged U-DI (the time from hysterectomy to fetus delivery) Suffocation, nor because of the use of forceps caused by neonatal facial damage and lower uterine laceration increased.