超声测量胎儿相关径线与预测分娩方式分析  

Using Ultrasound to Measure Fetal Related Diameter and Predict Mode of Delivery

作　　者：袁立昭[1] 张伟[1] 李芙媛[1] 

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《慢性病学杂志》2010年第6期510-511,共2页Chronic Pathematology Journal

摘　　要：目的用超声测量胎儿的相关径线,探讨预测分娩方式。方法对190例孕妇产前1周超声测量双顶径/胸围、腹围/双顶径、骨盆入口前后径-双顶径之差的相关数据,协助孕妇预定分娩方式,减少盲目试产和降低剖宫产率。结果超声估计胎儿体重4 000 g以下,骶耻径与双顶径差≥23 mm,可拟诊阴道产;超声估计胎儿体重4 000 g以上,胸围与头围差≥16 mm,腹径与双顶径差≥26 mm,可拟诊剖宫产。结论采用超声测量胎儿双顶、头围、胸围、腹围等数值来预测胎儿分娩途径有良好的预测性。Objective Use of the ultrasonic method to measure fetal related diameter and predict mode of delivery. Methods In order to help pregnant women choose delivery methods, reduce blind trial production and reduce cesarean section rate, biparietal diameter / chest circumference, abdominal circumference / biparietal diameter, the difference between anteroposterior diameter and biparietal diameter of pelvic entrance was measured in 190 cases of pregnant women with prenatal ultrasound. Results The results of ultrasound estimated fetal weight below 4 000 grams, the difference between sacral shame Drive and bad biparietal diameter ≥23 mm, may be attending Vagina; The results of ultrasound estimated fetal weight above 4 000 grams, the difference between bad chest and head circ- umference ≥16 mm, the difference between abdominal diameter and biparietal diameter BAD ≥ 26 mm, may be attending cesarean section. Conclusions The ultrasonic measurement of fetal biparietal diameter, head circumference, chest circumference, abdominal circumference have a good prediction of fetal birth means.

关 键 词：超声检查 产前 分娩 

分 类 号：R445.1[医药卫生—影像医学与核医学]