顺产助产器在阴道手术助产中的应用

doi:10.12280/gjfckx.20210658

摘要/Abstract

摘要：

阴道手术助产是指在第二产程通过使用阴道助产仪器牵引胎头,以加快或实现胎儿阴道分娩。常用的阴道助产仪器有产钳和胎头吸引器,但在临床工作中,其应用受到仪器本身可能带来的伤害及操作者技术的限制。2009年世界卫生组织（World Health Organization,WHO）批准了在人体上测试顺产助产器（Odon Device）这种助产新设备。Odon Device的目的是在胎儿头部越过最宽直径处放置套筒,再利用牵引辅助胎儿顺利娩出。与常用的产科工具相比,Odon Device具有成本低、临床安全性和有效性较好以及操作者可在较少训练下掌握操作技能的特点。在WHO的鼓励下,有6项测试该设备的研究已经完成,其中4项为临床前研究,2项为在无并发症分娩妇女中的临床研究。综述Odon Device的发展历史、工作原理、产科机制、临床前试验和临床研究结果,以期为阴道手术助产提供参考。

关键词: 分娩, 自然分娩, 助产学, 阴道, 外科器械, 顺产助产器

Abstract:

Operative vaginal birth refers to the use of vaginal midwifery instruments to traction the fetal head in the second stage of labor in order to accelerate or realize fetal vaginal delivery. The commonly used vaginal midwifery instruments are forceps and vacuum. But in clinical work, the application is limited by the possible damage caused by the instrument and the operator′s skills. In 2009, the World Health Organization (WHO) approved the testing of a new midwifery device (Odon Device) on humans. The purpose of Odon Device is to place a cuff over the widest diameter of the fetal head, and then use traction to assist the delivery of the fetus. Compared with common midwifery instruments, Odon Device has the features of low cost, high clinical safety and effectiveness, and operators can acquire operational skills with less training. With the encouragement of the WHO, six studies to test the device have been completed: four preclinical studies and two clinical studies in uncomplicated vaginal delivery. This article will comprehensively discuss the development history, working principle and obstetrical mechanism of Odon Device, as well as the results of preclinical and clinical studies, in order to provide reference for the operative vaginal birth.

Key words: Parturition, Natural childbirth, Midwifery, Vagina, Surgical instruments, Odon Device

肖光红, 李燕, 王艳红. 顺产助产器在阴道手术助产中的应用[J]. 国际妇产科学杂志, 2022, 49(2): 137-140.

XIAO Guang-hong, LI Yan, WANG Yan-hong. The Application of Odon Device in Operative Vaginal Birth[J]. Journal of International Obstetrics and Gynecology, 2022, 49(2): 137-140.

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