超声测量头盆关系的临床价值  

Relationship Between Heads and Pelvis Measured by Ultrasound

作　　者：朱剑芳[1] 秦军丽[1] 蒋筑丽[1] 邓林云[1] 胡智安[1] 

机构地区：[1]江西医学院第一附属医院超声诊断科,江西南昌330006

出　　处：《实用临床医学（江西）》2004年第6期117-118,共2页Practical Clinical Medicine

基　　金：江西省卫生厅资助项目

摘　　要：目的探讨产前超声测量胎儿双顶径及孕妇骨盆骶耻径的临床价值。方法对185例孕39～41周临产孕妇进行产前超声检测,测量孕妇骶耻径及胎儿双顶径,并随诊记录其分娩方式及相关因素。结果100例顺产孕妇的骶顶径差值(即孕妇骶耻径测值与胎儿双顶径测值之间的差值)明显大于55例因临床拟诊为头盆不称而行剖宫产的孕妇的骶顶径差值(P<0.01)。结论临产前超声测量胎儿双顶径及孕妇骨盆骶耻径可作为产前头盆不称筛查的检测方法而值得临床应用。objective: To investigate the clinical value of measuring of the biparietel diameter (BPD) of fetus and sacropubic distance(SPD)of pelvis of gravida by the Ultrasound.Methods: One hundred and eighty five parturient (at 39～41 weeks of gestation)of the SPD and BPD were measured by ultrasound and recorded their following methods of childbearing and the related factors of childbirth.Results:The different value between the SPD and the BPD in 100 cases of normal labor is obviously larger than that of 55 cases of cesarean section who were diagnosed as cephalopelvic disproportion(P<0.01).Conclusion:The SPD and BPD measured by ultrasound would be method for diagnosis of cephalopelvic disproportion in childbearing.

关 键 词：超声测量 双顶径 骶耻径 

分 类 号：R714.5[医药卫生—妇产科学] R445.1[医药卫生—临床医学]