胎羊脐带血管和肝内静脉超声引导穿刺取血的对比观察  

Comparison of cordocentesis and intrahepatic umbilical vein sampling with ultrasonographic guidance in the ovine fetus

作　　者：吕国荣[1] 李伯义[1] 胡诗音[1] 

机构地区：[1]福建医科大学附属第二医院超声科,福建泉州362000

出　　处：《中国医学影像技术》2010年第3期429-431,共3页Chinese Journal of Medical Imaging Technology

基　　金：福建省自然基金(2009J01132);泉州市科技人才基金(2007Z17)

摘　　要：目的观察、比较胎羊脐带穿刺术(CC)取血和肝内脐静脉穿刺术(IUVS)取血的成功率和并发症发生率。方法晚孕胎羊20只,随机分为CC组和IUVS组,于超声引导下进行CC和IUVS,计算其穿刺取血的成功率和并发症发生率。结果IUVS取血1次、3次以内和5次以内成功率分别为32.00%、68.00%和84.00%,明显优于CC组成功率(分别为15.00%、40.00%和75.00%,P<0.05),而并发症发生率两者相当(P>0.05)。结论IUVS是可供选择的较为理想和方便的孕胎血管的介入路径。Objective To compare success and complication rate of cordocentesis（CC） with intrahepatic umbilical vein sampling（IUVS） under the guidance of ultrasonography in ovine fetus.Methods Twenty near-term singleton pregnant ewes were randomly divided into CC group and IUVS group（each n= 10）.All of the ewes underwent CC or IUVS in ovine fetus guided with ultrasonography.Success and complication rate of CC and IUVS were calculated.Results Success rates of IUVS on the first,less than 3 times and 5 times attempt was 32.00%,68.00% and 84.00%,respectively,higher than that of CC（15.00%,40.00% and 75.00%,respectively,P 0.05）.Sever complication rates of IUVS in comparison with CC was not statistically different（P 0.05）.Conclusion Fetal IUVS may be a reasonable option to obtain fetal intravascular access and facilitate therapeutic intervention.

关 键 词：脐带穿刺术 肝内静脉穿刺取血 超声检查 产前 

分 类 号：R332[医药卫生—人体生理学] R445.1[医药卫生—基础医学]