羊膜腔灌注术治疗前置胎盘未成熟儿的安全评估  

The safety of amnioinfusion in placenta praevia with premature infant.

作　　者：邓玲红[1] 张玉洁[1] 朱秋云[1] 祝琳[1] 

机构地区：[1]广东省广州市第一人民医院妇产科,510180

出　　处：《中国综合临床》2005年第2期176-177,共2页Clinical Medicine of China

摘　　要：目的探讨妊娠中、晚期未成熟儿合并完全性前置胎盘行介入超声羊膜腔内治疗的安全性。方法对观察组25例妊娠2834周合并完全性前置胎盘的孕妇,行B超介入下羊膜腔内灌注药物治疗13次,并与29例静脉滴注对照组进行对比分析。结果观察组孕妇行介入超声下穿刺均成功,早产儿Apgar1min与5min评分均高于对照组(P<0.01),围生儿存活率达100%,未发生羊膜腔内输液并发症。结论在完全性前置胎盘的期待治疗中采用介入超声羊膜腔内灌注术安全、可靠,可明显降低围生儿的病死率。Objective To explore the safety of interventional ultrasongraphy amnioinfusion in premature infant with complete placenta praevia.Methods 25 cases of complete placenta praevia during 28-34 weeks pregnancy underwent intravenous infusion for 1-3 times under ultrasound guide,and were compared with that of 29 cases treated intravenousely.Results The amnioinfusion was successful under ultrasound guide in 25 cases of treated group.Apgas scose at 1 and 5 minutes in premature infant was higher than that of control group(P<0.01).The survival rate of perinatal period reached 100%.There was no maternal complication.Conclusion Interventional ultrasonography amnioinfusion is a safe and reliable treatment in complete placenta praevia and may reduce perinatal morbidity.

关 键 词：前置胎盘 羊膜腔灌注 影像学检查 

分 类 号：R714.2[医药卫生—妇产科学]