脐带绕颈181例临床分析  

Clinical analysis of 181 fetus of cord around neck.

作　　者：王若薇[1] 乔丽雅[1] 吕秋兰[1] 宋平[1] 张宏珍[1] 赵爱华[1] 

机构地区：[1]解放军总医院第309临床部妇产科,北京100091

出　　处：《中国优生与遗传杂志》2006年第3期79-80,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨脐带绕颈的发生原因、诊断方法、产程处理及对围产儿的影响。方法选择脐带绕颈181例进行回顾性分析。结果脐带过短无1例发生脐带绕颈;脐带绕颈>3周者,脐带过长组明显多于脐带正常组(P<0.01),脐带绕颈的胎儿宫内窘迫率为25.41%,窒息率为11.60%,两组比较均P<0.01。脐带绕颈组自然分娩率明显低于对照组(P<0.01),阴道手术产与剖宫产均高于对照组(P<0.01)。结论脐带绕颈与脐带长度有一定的关系,脐带过长是导致脐带绕颈的基本原因。脐带绕颈会明显增加胎儿窘迫、新生儿窒息的发生率。Objective： To demonstrate the causes of cord around neck and its diagnosis, treatment during the labor process and its influence on perinatal infants. Methods： 181 fetus of cord around neck were selected to be retrospectively analyzed. Results： In the group of excessively short cord, no fetus suffered from cord around neck, but fetus of cord around neck more than 3 circles, in cord longer group were more than that in normal cord group （ P 〈0.01 ）. The incidence rate of fetal distress and fetal asphyxia in fetus of cord around neck were 25.41% and 11.60% respectively. The incidence rate of natural labor in group of cord around neck was more lower than the control group （ P 〈 0. 01 ）. Operations on vagina and cesarean in cord around neck group were more than the control group. Conclusion： Cord around neck is related to length of cord. Excessively long cord is the basic factor of cord around neck. Cord around neck can evidently increase the rates of fetal distress and neonatal asphyxia.

关 键 词：脐带绕颈 围产儿 分娩 

分 类 号：R714.4[医药卫生—妇产科学]