Mola G D
University of Papua New Guinea, Port Moresby, Papua New Guinea.
P N G Med J. 1995 Sep;38(3):172-7.
The perinatal and maternal outcomes of 65 symphysiotomies and 108 caesarean sections carried out after failed trial of assisted delivery at the Port Moresby General Hospital between 1988 and 1994 were retrospectively analyzed. There were no significant differences in perinatal outcomes between the treatment groups. There were no maternal deaths in either group. Mothers who had symphysiotomy had a longer postoperative stay in hospital but fewer complications requiring further surgery. There are many advantages of symphysiotomy, particularly in developing countries, following a failed trial of assisted delivery, provided the indications for it are strictly met. Obstetricians experienced in the technique are able to apply it at the optimal time, with long-term benefit to their patients, who thereby avoid the risks of pregnancy subsequent to caesarean section.
对1988年至1994年间在莫尔斯比港总医院辅助分娩试验失败后进行的65例耻骨联合切开术和108例剖宫产的围产期及产妇结局进行了回顾性分析。治疗组之间的围产期结局无显著差异。两组均无产妇死亡。接受耻骨联合切开术的母亲术后住院时间较长，但需要进一步手术的并发症较少。耻骨联合切开术有许多优点，特别是在发展中国家，在辅助分娩试验失败后，只要严格符合其适应症即可。精通该技术的产科医生能够在最佳时机应用该技术，为患者带来长期益处，从而避免剖宫产术后再次怀孕的风险。
