摘要
目的 :探讨羊水过少患者的宫颈Bishop评分与分娩方式、围产儿预后的关系。比较B超羊水指数法 (AFI法 )与最大羊水池测定法 (AFD法 )在临床诊断羊水过少中的准确率。方法 :对 2 16例羊水过少患者的临床资料进行回顾性分析。结果 :①胎儿宫内窘迫、新生儿窒息发生率随羊水量减少而升高 (P <0 .0 5 ) ;②宫颈Bishop评分 >6分者剖宫产率明显低于≤ 6分者 (P <0 .0 5 ) ,其新生儿窒息发生率无显著性差异 (P >0 .0 5 ) ;③AFI法检测羊水过少的准确率高于AFD法 (P <0 .0 5 )。结论 :羊水过少严重影响围产儿预后。产前B超监测羊水AFI法优于AFD法。羊水过少不是剖宫产的绝对指针 ,临床中可结合宫颈Bishop评分。
Objective:To analyze the relationship between the Bishop score,fetal outcome and the delivery way of oligohydramnios patients.Methods:Amniotic fluid weigh,the Bishop score,delivery way,fetal outcome and the accuracy in 216 oligohydramnios patients who delivery in our hospital in 2001～2002 were detected.Results:①The incidence of fetal distress in uterus and anoxia of newborn was increased followed by a reduce of amniotic fluid weigh;②The cesarean rate of the Bishop score was larger than 6 was lower than the score small or equal for 6 obviously,but there had no difference to the anoxia of newborn rate;③The accuracy to detect oligohydramnios by AFI was better than AFD(P<0.05).Conclusion:Oligohydramnios influence the prognosis to the perinatal seriously.The antepartum ultrasonic detection has a important role in checking amniotic fluid.The AFI technique is better than AFD. Oligohydramnios is not the absolutely index hand to cesarean.We can choose the corresponding delivery way by Bishop score,OCT,NST and the AFI in our clinical practice.
出处
《实用临床医学（江西）》
CAS
2004年第3期95-97,共3页
Practical Clinical Medicine
关键词
羊水过少
围产儿
预后
阴道分娩
剖宫产术
超声检查
产前
oligohydramnios
fetal outcome
prognosis
vaginal delivery
cesarean section
ultrasonography,prenatal
