【摘要】 目的 提高对巨大胎儿的认识及处理。 方法 收集我院2004年61例足月巨大胎儿妊娠作为观察组，分析其临床表现及分娩分式;并同期随机抽取61例足月羊水过多妊娠作为对照组，进行比较。 结果 有巨大胎儿分娩史，孕妇腹部检查结合B型超声检查是诊断巨大胎儿的主要依据。和羊水过多组比较，分娩方式差异无显著性(P>0.05);但肩难产率显著升高(P<0.01)。 结论 产前对胎儿大小及孕妇骨盆进行正确的估计以选择分娩方式，严密观察产程进展，采取正确的助产措施，是巨大胎儿分娩成功的关键。

    关键词 巨大胎儿 分娩方式 肩难产 助产措施

    The clinical analysis of61fetal macrosomia term pregnancy

    Luo Yumei，Yang Qing

    Department of Obstetrics，The People's Hospital of Guizhou，Guiyang550002.

    【Abstract】 Objective To improve the acknowledgement and management for fetal macrosomia.Methods 61fetal macrosomia term pregnancy in2004were served as observation groups，analysing their clinical signs and delivery pathways;61random polyhydramnios term pregnancywere served as control group.Results The major diagnosis of fe-tal macrosomia were the history of fetal macrosomia ......