介入性超声羊膜腔内治疗与母儿安危评估  

The application of interventional ultrasonography in amniotic cavity therapy and to assess safety with mater and fetus

作　　者：康佳丽[1] 卢丽娜[1] 张玉洁[1] 朱宝馀[1] 刘丽芳[1] 

机构地区：[1]广州市第一人民医院妇产科,510180

出　　处：《中华超声影像学杂志》1999年第6期341-343,共3页Chinese Journal of Ultrasonography

基　　金：广州市科委重点科研项目基金!( 96-2-69-2)

摘　　要：目的　应用介入性超声对胎儿进行羊膜腔内治疗， 以探讨其成功率和对母儿的安危。方法对４４例晚期妊娠， 因并发羊水过少或胎儿宫内发育迟缓（ＩＵＧＲ）孕妇， 行介入性超声羊膜腔内治疗１～３次， 其中包括８例前壁胎盘的羊膜腔穿刺。结果　４４例孕妇超声引导下均穿刺成功。胎动、胎心及无负荷激惹试验在介入性超声诊疗前后比较无显著性差异（Ｐ＞ ０．０５）， 而羊水和ＩＵＧＲ的改善则有显著性意义（Ｐ＜ ０．０１）， 且无一例早产、胎膜早破、胎膜早剥、羊水栓塞、穿刺感染等并发症， 更无死胎、死产及新生儿死亡。结论　介入性超声是在实时超声显像引导下进行穿刺而达到定性诊断或（和）治疗目的一种新技术， 它成功率高， 并发症极少， 创伤小， 可重复， 是一种相对安全、可靠的产科治疗手段， 对前壁胎盘同样安全、有效。Objective\ Interventional ultrasonography apply to fetal intrauterine therapy. To assess successful rate and safety with maternal and fetal condition. Methods\ Forty four cases with oligohydramnios or IUGR had been practised intrauterine therapy with invasive ultrasonography. Results\ Ultrasound guided punctures are all succesful. No statistical difference was found in fetal heart rate and NST before and after therapy ( P >0.05). Amniotic fluid improved was significantly increased ( P <0.01). There was no maternal complication, fetal distress asphyxia neonatorum and fetal or neonate death.Conclusions\ Invasive ulrtasonography is a new technique with puncture for qualitative diagnosis or / and therapy based on real time ultrasound. It is of high successful rate, less complications, and less traumatic and could be repeated. It is a relatively safe, reliable therapeatic method in obstetrics and ante wall placenta state.\;

关 键 词：母儿安危 介入性超声 羊膜穿刺术 危险性评估 

分 类 号：R714.4[医药卫生—妇产科学] R714.5[医药卫生—临床医学]