手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件

臀位外倒轉(zhuǎn)術(shù)臀位外倒轉(zhuǎn)術(shù)1于術(shù)資料:僇位外倒術(shù)臀位外倒轉(zhuǎn)術(shù)科室:婦產(chǎn)科部位:臀位麻醉:暫無于術(shù)資料:僇位外倒術(shù)2于術(shù)資料:僇位外倒術(shù)概述外倒轉(zhuǎn)術(shù)為產(chǎn)科臀位手術(shù)。臀位約占分娩總數(shù)的3%~4%。臀位分娩的胎兒早產(chǎn)、胎膜早破及臍帶脫垂的發(fā)生率高,易致室息和產(chǎn)傷。經(jīng)陰道分娩的圍生兒死亡率約10倍于頭位產(chǎn)兒。臀位對(duì)產(chǎn)婦的危害為因手術(shù)產(chǎn)而帶來的并發(fā)癥多,如產(chǎn)傷、出血及感染。故應(yīng)積極降低臀產(chǎn)率,合理選擇分娩方式,并提高接產(chǎn)技術(shù)于術(shù)資料:僇位外倒術(shù)3于術(shù)資料:僇位外倒術(shù)概述妊娠30周時(shí)發(fā)現(xiàn)的臀位,半數(shù)以上能自轉(zhuǎn)為頭位。自然回轉(zhuǎn)多發(fā)生在34周前,而37周以后自轉(zhuǎn)的可能很小。外倒轉(zhuǎn)術(shù)是糾正臀位的方法之一,但有一定危險(xiǎn)性,偶見早產(chǎn)、胎膜早破、胎盤早期剝離和胎死宮內(nèi)。有人認(rèn)為36~37周時(shí)行外倒轉(zhuǎn)術(shù)的成功率高,并發(fā)癥少。一旦發(fā)生胎盤早剝或臍帶纏繞等問題時(shí)可于術(shù)資料:僇位外倒術(shù)4于術(shù)資料:僇位外倒術(shù)概述即行剖宮產(chǎn),而太早行外倒轉(zhuǎn)術(shù)則易致早產(chǎn),且無必要。于術(shù)資料:僇位外倒術(shù)5于術(shù)資料:僇位外倒術(shù)適應(yīng)證外倒轉(zhuǎn)術(shù)適用于32~40周單胎臀位,經(jīng)改變體勢(shì)或其他方法糾正無效者。于術(shù)資料:僇位外倒術(shù)6于術(shù)資料:僇位外倒術(shù)手術(shù)禁忌1.外倒轉(zhuǎn)術(shù)可能危及胎兒的情況,如先兆早產(chǎn)、宮內(nèi)窘迫、子宮出血、宮內(nèi)發(fā)育遲緩及過期妊娠等于術(shù)資料:僇位外倒術(shù)7于術(shù)資料:僇位外倒術(shù)手術(shù)禁忌2.外倒轉(zhuǎn)術(shù)可能危及母體或引起胎盤早剝的情況,如心臟病,中、重度妊娠高血壓綜合征,糖尿病,慢性腎炎,慢性高血壓及出血傾向等。于術(shù)資料:僇位外倒術(shù)8于術(shù)資料:僇位外倒術(shù)手術(shù)禁忌3.影響外倒轉(zhuǎn)術(shù)效果,并易引起并發(fā)癥的情況,如羊水過少、臍帶纏繞、胎頭仰伸子宮畸形及子宮前壁胎盤等。B超提示臍帶繞頸者、胎盤前壁或前置胎盤者慎用。于術(shù)資料:僇位外倒術(shù)9于術(shù)資料:僇位外倒術(shù)手術(shù)禁忌4.不需要外倒轉(zhuǎn)的情況,如明顯頭盆不稱(包括骨盆狹窄和胎兒過大)和前置胎盤于術(shù)資料:僇位外倒術(shù)10手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件11手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件12手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件13手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件14手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件15手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件16手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件17手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件18手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件19手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件20手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件21手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件22手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件23手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件24手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件25手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件26手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件27手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件28手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件29手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件30手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件31手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件32手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件33手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件34手術(shù)講解臀位外倒轉(zhuǎn)術(shù)課件