超声指导胎儿脐带绕颈宫内复位治疗的应用价值  

THE APPLICATION VALUE OF INTRAUTERINE DIAPLASTIC MEANS OF FETAL NUCHAL CIRCULAR UMBILICAL CORD GUIDED BY ULTRASONOGRAPHY

作　　者：陈彦红[1] 许春梅[1] 万里凯[1] 张步林[1] 施月秋[2] 田矛[2] 

机构地区：[1]广西壮族自治区人民医院超声科,南宁530021 [2]广西壮族自治区人民医院产科,南宁530021

出　　处：《广西医科大学学报》2011年第1期64-66,共3页Journal of Guangxi Medical University

基　　金：广西科学基金资助项目(No.桂科自0542065)

摘　　要：目的:探讨超声指导宫内胎儿脐带绕颈复位治疗的应用价值。方法:利用彩色多普勒超声识别血流方向的技术结合脐动脉的血流矢量,对纳入的妊娠中晚期有脐带绕颈的正常单活胎182例,进行缠绕方向及类型的判断,随机分为干预组(n=92)和对照组(n=90),对干预组采取相应的卧姿变换,以促进胎儿翻身,使缠绕的脐带回旋复位。对照组则采取自由卧姿一个月后复查。结果:干预组92例中86例干预获得成功,干预成功率达93.48%(86/92);对照组90例中自然复位52例,自然复位率为57.78%(52/90)。干预组复位率明显高于对照组(χ2=31.631,P=0.000)。结论:超声指导胎儿脐带绕颈宫内复位的方法成功率高,对优生优育有重要意义。Objective：To investigate the application value of intrauterine diaplastic means of fetal nuchal circular umbilical cord guided by ultrasono graphy.Methods：A total of 182 single fetuses of intermediate and advanced stage with nuchal circular umbilical cord were divided randomly into intervention（n=92） and control（n=90） groups.The winding directions and tye of nuchal circular umbilical cord were judged correctly first on color Doppler flow imaging（CDFI） and the cord blood flow vector.Corresponding decubitus were adopt in order to turn the fetal body over and reset the position of umbilical cord.Results：The sucess rate was 93.48%（86/92） in the intervention group,and 57.78%（52/90） in the control group（χ2=31.631,P=0.000）.The achievement ratio of intrauterine diaplastic means in intervention group was higher than that in control group.Conclusion：Our investigation indicates that the achievement ratio of the intrauterine diaplastic means of fetal nuchal circular umbilical cord guided by ultrasonography is high.It is very important for aristogenesis and scientific foster.

关 键 词：彩色多普勒血流显像 脐带绕颈 宫内干预 胎儿医学 

分 类 号：R445.1[医药卫生—影像医学与核医学]