妊娠合并单脐动脉的产科临床意义(附47例报道)  

To analyze the clinical significance of pregnancy with single umbilical artery in obstetrics(with 47 cases report)

作　　者：张国正[1] 葛群[1] 曾春连[1] 

机构地区：[1]广州市妇婴医院妇产科,510180

出　　处：《中国优生与遗传杂志》2007年第7期79-79,128,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的通过对47例产前超声检查时发现胎儿单脐动脉病例的临床情况及妊娠结局进行追踪,分析产前发现单脐动脉对妊娠的影响及其产科临床意义。方法回顾2003年6月至2006年2月间,在我院行产前超声检查发现合并单脐动脉的47例妊娠,追踪其相关临床情况、妊娠结局。结果在47个胎儿单脐动脉病例中,合并其他系统胎儿发育异常的有28例,其中发现染色体异常的有3例,继续妊娠的病例中,有10例在孕程和产程中出现各种异常,余15例胎儿妊娠进程顺利,随访无明显异常发现。结论产前发现胎儿单脐动脉,需多角度动态观察,在排除胎儿合并其他畸形或染色体异常时,可以考虑继续妊娠,但尚需密切注意胎儿发育情况和产程。Objective： To analyze the clinical manifestation and the results of pregnancy in 47cases with single umbilical artery （SUA） found by prenatal ultrasound. Methods： To review 47 fetuses with SUA found in our hospital from June 2003 to February 2006, We followed - up their clinical manifestation and pregnancy outcome, then analyses the influence of SUA on pregnancy and the clinical significance in obstetrics. Results ： In 47 cases, 28 cases combinated other abnormalities, 3 case had abnormal chromosome. In the cases going on with their pregnancy, 10 cases had disorders during the pregnancy course or the labor, the other 15 cases were fine and there were no abnormality in the following -up. Conclusion： When we find a fetus with single umbilical artery, we should analyse it from different aspect . When the fetal structural abnormalities and the chromosome disorders are excluded, the pregnancy can be preceded, but we must pay more attention to the fetuses＇ growth and delivery.

关 键 词：产科 超声检查 胎儿 单脐动脉 

分 类 号：R714.25[医药卫生—妇产科学]