摘要
目的:观察彩超诊断晚孕胎儿脐带绕颈的准确率,探讨脐带绕颈对围产儿及产科处理的影响。方法:回顾性分析了121例产前末次彩超诊断胎儿脐带绕颈检查结果,并与分娩后临床资料进行对比。结果:经分娩证实脐带绕颈113例,彩超诊断符合率为93.4%;绕颈1周对围产儿的影响明显低于绕颈2周及以上者。结论:彩超是诊断胎儿脐带绕颈的一种有效方法,并能为临床预测胎儿窘迫提供可靠依据,指导分娩方式的选择。
Objectives: To observe the accuracy of color Dopplar ultrasound in the diagnosis of late pregnancy umbilical cord around neck, and to discuss the influence of umbilical cord around neck on neonatal and obstetric treatment of maternal women. Methods: A retrospective analysis was made on 121 pregnant women who were diagnosed with the last color Dopplar ultrasound exam as having umbilical cord around the neck. Their clinical data was compared before and after the delivery. Results : The delivery indicated 113 cases with confirmed umbilical cord around the neck. The accuracy rate of color Dopplar ultrasound diagnosis was 93.4% ; The influence of more than 2 weeks of umbilical cord around the neck is significantly greater than one week' s influence on perineonatals. Conclusion: Color Dopplar ultrasound is an effective diagnosis for umbilical cord around the neck. It can help to predict the clinical fetal distress and to facilitate the choice of the delivery methods.
出处
《中国性科学》
2012年第9期20-22,共3页
Chinese Journal of Human Sexuality
关键词
彩超
脐带绕颈
胎儿窘迫
分娩方式
Color Dopplar ultrasound
umbilical cord around neck
Fetal distress
Delivery methods
作者简介
尹舒(1974-),女,主治医师,主要从事妇产科超声诊断工作。