臀位矫正技术的应用及研究进展OA
Application and research progress of breech correction techniques
臀位妊娠作为最常见的胎位异常之一,发生率占足月妊娠的3%~4%,显著增加难产、新生儿窒息及产后出血等母婴并发症发生风险.临床应用臀位矫正技术能够有效促进胎位转为头位,优化分娩方式选择,降低剖宫产率.该文系统阐述了胸膝卧位、艾灸与激光刺激及外倒转术等主要矫正技术的操作规范与适用条件,分析不同技术的成功率与安全性差异,总结了近年来臀位矫正技术在矫正时机、辅助技术和高危人群管理等方面的研究进展,并探讨了当前存在的临床争议与未来发展方向,为临床实践提供循证参考.
Objective Breech presentation is the most common fetal malpresentations,the incidence ac-counts for 3%-4%of term pregnancies,significantly increasing the risk of maternal and neonatal complica-tions such as difficult delivery,neonatal asphyxia,and postpartum hemorrhage,etc.The clinical application of breech correction techniques can effectively promote the conversion of the fetal position to cephalic,optimize the choice of delivery method,and reduce the cesarean section rate.This article systematically elaborated on the operational standards and applicable conditions of major correction techniques,including the knee-chest po-sition,moxibustion and laser stimulation,and external cephalic version,analyzed the differences in success rates and safety among different techniques,summarized recent research progress in correction timing,auxilia-ry technologies,and management of high-risk groups,and discussed current clinical controversies and future development directions.This review aims to provide an evidence-based reference for clinical practice.
王海涛
广州医科大学附属妇女儿童医疗中心,广东 广州 510000
医药卫生
臀位外倒转术胸膝卧位艾灸激光刺激矫正效果母婴安全
Breech presentationExternal cephalic versionKnee-chest positionMoxibustionLaser stimulationCorrection effectMaternal and infant safety
《现代医药卫生》 2026 (6)
1355-1357,1362,4
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