目的： 探讨不同孕周经产妇行臀位外倒转术纠正胎位的手术实施的效果并文献复习。方法： 报道2024—2025年间昆山市中医医院在B超实时监测下行臀位外倒转术3例病例，分别为孕34周、孕36周和孕36⁺⁴周,记录术中、术后情况及预后结局。结果： 3例不同孕周经产妇行臀位外倒转术病例均成功，未发生任何并发症，其中2例顺利阴道分娩，1例待产时要求经剖宫产分娩。结论： 不同孕周经产妇在B超的实时监测下行臀位外倒转术是安全有效的。

[1] LIM S,LUCERO J.Obstetric and anesthetic approaches to external cephalic version[J].Anesthesiol Clin,2017,35(1):81-94.
[2] COBEC I M,VARZARU V B,KÖVENDY T,et al.External cephalic version—a chance for vaginal delivery at breech presentation[J].Medicina,2022,58(11):1619.
[3] HAKEM E,LINDOW S W,O'CONNELL M P,et al.External cephalic version-A 10-year review of practice[J].Eur J Obstet Gynecol Reprod Biol,2021,258:414-417.
[4] DONG T,CHEN X,ZHAO B,et al.Development of prediction models for successful external cephalic version and delivery outcome[J].Arch Gynecol Obstet,2022,305(1):63-75.
[5] DAHL C M,ZHANG Y,ONG J X,et al.A multivariable predictive model for success of external cephalic version[J].Obstet Gynecol,2021,138(3):426-433.
[6] HAO Q,HU Y,ZHANG L,et al.A systematic review and meta-analysis of clinical trials of neuraxial,intravenous,and inhalational anesthesia for external cephalic version[J].Anesth Analg,2020,131(6):1800-1811.
[7] LONDERO A P,XHOLLI A,MASSAROTTI C,et al.Factors influencing the effect of external cephalic version:a retrospective nationwide cohort analysis[J].Arch Gynecol Obstet,2023,308(4):1127-1137.
[8] 王乐乐,孙想妹,史骁梁.无麻醉下足月及近足月外倒转术103例临床分析[J].现代实用医学,2023,35(9):1210-1212.
[9] RUSNELL L,BLAIR A,COOPER S,et al.External cephalic version:a retrospective chart review at a Canadian tertiary care centre[J].J Obstet Gynaecol Can,2024,46(11):102662.
[10] External cephalic version:ACOG practice bulletin,number 221[J].Obstet Gynecol,2020,135(5):e203-e212.
[11] 曾雯琼.足月及近足月臀位外倒转术的临床应用及成功率影响因素分析[J].医学理论与实践,2021,34(19):3329-3331,3337.
[12] BEUCKENS A,RIJNDERS M,VERBURGT-DOELEMAN G H,et al.An observational study of the success and complications of 2546 external cephalic versions in low-risk pregnant women performed by trained midwives[J].BJOG,2016,123(3):415-423.
[13] 吴婷,罗力冰,李之朋,等.无麻醉下足月单胎臀位外倒转术195例分析[J].中华围产医学杂志,2018,21(11):769-771.
[14] 吴英,周建新,姜海利.足月臀位外倒转术成功预测模型的建立与验证[J].现代妇产科进展,2024,33(9):670-674.
[15] 李玖蓉,李笑天,程海东,等.足月臀位外倒转术成功的影响因素分析[J].中国实用妇科与产科杂志,2021,37(8):841-845.
[16] SON M,ROY A,GROBMAN W A,et al.Association between attempted external cephalic version and perinatal morbidity and mortality[J].Obstet Gynecol,2018,132(2):365-370.
[17] RODGERS R,BEIK N,NASSAR N,et al.Complications of external cephalic version:a retrospective analysis of 1121 patients at a tertiary hospital in Sydney[J].BJOG,2017,124(5):767-772.
[18] MANASAR-DYRBU M,JANIK A,JENDYK C,et al.Strategies to reduce cesarean deliveries:surveying Polish midwives and midwifery students on external cephalic version practices[J].BMC Nurs,2025,24(1):582.