第七版妇产科--第二十二章产道异常(The seventh edition of Obstetrics and Gynecology, the twenty-second chapter abnormal birth canal).docVIP

第七版妇产科--第二十二章产道异常(The seventh edition of Obstetrics and Gynecology, the twenty-second chapter abnormal birth canal).doc

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第七版妇产科--第二十二章产道异常(The seventh edition of Obstetrics and Gynecology, the twenty-second chapter abnormal birth canal)

第七版妇产科--第二十二章产道异常(The seventh edition of Obstetrics and Gynecology, the twenty-second chapter abnormal birth canal) Including the birth canal bony (pelvic) and soft birth canal (lower uterine, cervical, vaginal, vulvar, vaginal delivery of the fetus) is the channel. The abnormal birth canal of fetus is blocked, clinically with bony abnormalities seen. Section 1 abnormal bone and birth canal The pelvic diameter is too short or the shape is abnormal, which causes the pelvic cavity to be smaller than the limit that the fetal first exposure part can pass, and it prevents the decrease of the fetal head presentation, which affects the progress of the labor process, which is called the narrow pelvis. A narrow pelvis can be a line that is too short or many lines at the same time too short, and can also be narrow or flat at the same time as a plane. When a diameter is narrow, we should observe the size of the same plane and other diameters, and then make a comprehensive analysis of the size and shape of the entire pelvic cavity to make a correct judgement. Classification of narrow basins The 1. plane is divided into 3 narrow pelvic entrance grade: I, critical stenosis, OD 18era, population before and after the diameter of 10clll, the vast majority of natural childbirth; II, relative stenosis, OD 165 - 175 PA, the population anteroposterior diameter of 8.5 9.5cm, required by the trial to determine whether can Yin was childbirth; III, absolute stenosis, OD 16.Ocm, 8.Ocm population diameter, must end the pregnancy by cesarean section. In clinical practice, the first two grades are often encountered. There are two types of women in our country: (1) simple flat pelvis (siD at k - Pd blood): pelvic population was horizontal oblate, promontory forward prominent, the pelvic anteroposterior diameter and transverse diameter of the population reduced to normal. (Figure 22-1), the jealous Figure 2}l simple flat pelvis (2) flat pelvis: childhood rickets rickets, osteomalacia pelvis defor

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