摘要
目的探讨妊娠合并帆状胎盘(VCI)对围生结局的影响。方法采用回顾性分析法分析中山大学附属第三医院2007年1月至2009年12月收治的45例妊娠合并VCI产妇的临床资料(研究组)。选择同期在本院分娩的非妊娠合并VCI产妇50例的临床资料纳入对照组,比较两组孕妇的围生结局(本研究遵循的程序符合本院人体试验委员会所制定的伦理学标准,得到该委员会批准)。两组孕妇年龄及孕、产次比较,差异无统计学意义(P>0.05)。结果研究组剖宫产、早产、胎膜早破、胎儿生长受限(FGR)、胎儿窘迫发生率高于对照组(68.9%vs.46.0%,26.7%vs.10.0%,33.3%vs.14.0%,15.6%vs.2.0%,28.9%vs.4.0%),两组比较,差异有统计学意义(P<0.05)。但新生儿窒息和低出生体重儿发生率两组比较,差异无统计学意义(P>0.05)。研究组中仅3例(6.67%,3/45)在分娩前经超声检查确诊为妊娠合并VCI。结论妊娠合并VCI的产前诊断率低,导致的围生结局不良。提高妊娠合并VCI的产前超声诊断率及对已明确诊断的孕妇采取正确的孕期监护及治疗,可改善围生结局。
Objective To investigate the impacts of gestational velamentous cord insertion （VCI） on pregnancy outcomes. Methods From January 2007 to December 2009, a total of 45 pregnant women with VCI were retrospectively analyzed in this study （study group）. Another 50 normal pregnant women were randomly selected and recruited into control group. Informed consent was obtained from all participates. The pregnancy outcomes of two groups were detected. Results Cesarean section incidence rate, premature delivery, premature rupture of membrane, fetal growth restriction（FGR）, fetal distress of study group were markedly higher than those of control group（68.9% vs. 46.0% ,26.7% vs. 10.0%, 33.3% vs. 14.0%, 15.6% vs. 2.0%,28.9% vs. 4.0%）（P〈0.05）. In study group, only 3 （6.67%, 3/45） pregnant women with VCI were diagnosed before delivery. Conclusion Prenatal diagnosis rate of pregnant women with VCI is low, so pregnancy outcomes of pregnant women with VCI has a higher incidence of poor perinatal outcomes. To increase prenatal ultrasound diagnosis rate of pregnant women with VCI and take proper care and treatment them, it will be able to improve the perinatal outcomes.
出处
《中华妇幼临床医学杂志（电子版）》
CAS
2011年第5期353-355,共3页
Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)
基金
广东省科技计划项目资助(2008B030301065)~~
关键词
妊娠
帆状胎盘
围生结局
pregnancy
velamentous cord insertions perinatal outcome
作者简介
通讯作者 侯红瑛（Email：gdgzhhyy@163．com）
