Hiraizumi Yoshie, Miura Atsushi, Miyake Hidehiko, Suzuki Shunji
Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, Tokyo, Japan.
J Nippon Med Sch. 2012;79(4):280-3. doi: 10.1272/jnms.79.280.
The aims of this study were to compare the perinatal outcomes of successful vacuum extraction (VE) or failed VE and to compare the perinatal outcomes of failed VE followed by forceps delivery (FD) or Cesarean section (CS) from 2000 through 2007. Compared with cases of successful VE, cases of failed VE followed by CS had a significantly higher incidence of neonatal complications, whereas cases of failed VE followed by FD had a significantly higher incidence of maternal injury. Both CS and FD remain important yet distinct treatments for emergency cases of failed VE. Therefore, the decision to use a second instrument (FD) or to proceed to CS should be made in each case on the basis of these differences.
本研究的目的是比较成功的真空吸引术（VE）或失败的VE的围产期结局，并比较2000年至2007年失败的VE后行产钳分娩（FD）或剖宫产（CS）的围产期结局。与成功的VE病例相比，失败的VE后行CS的病例新生儿并发症发生率显著更高，而失败的VE后行FD的病例母体损伤发生率显著更高。CS和FD仍然是失败的VE紧急情况的重要但不同的治疗方法。因此，应根据这些差异对每个病例做出使用第二种器械（FD）或进行CS的决定。
