40例单脐动脉与妊娠结局  

40 patients with single umbilical arterial and the pregnancy outcome

作　　者：杨亚滨[1] 索磊[1] 张艳梅[1] 

机构地区：[1]黑龙江省大庆市人民医院妇产医院,163316

出　　处：《中国优生与遗传杂志》2013年第4期120-121,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的本研究通过对40例产前超声发现的单脐动脉病例的临床情况分析,探讨单脐动脉对妊娠结局的影响及临床意义,从而指导单脐动脉孕妇的孕期保健。方法回顾分析2008年1月～2011年1月,在我院产科住院分娩的40例妊娠合并单脐动脉的诊断方法、分娩方式和妊娠结局。结果 40例病例中,38例病例B超诊断.产后确诊2例,产后检查脐带胎盘时诊断。无胎儿发育异常的23例,单脐动脉合并胎儿生长受限6例,合并胎儿发育异常10例。宫内死胎4例,合并胎心监护异常9例;早产13例,足月分娩37例。新生儿存活38例,死亡2例。结论产前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,同时加强妊娠期及产程监护,及早发现胎儿生长受限及胎儿窘迫,提高新生儿出生质量。Objective ： This study through the in 40 cases that prenatal uhrasonographic single umbilical arterial cases clinical situ- ation analysis, this paper discusses the umbilical arterial single to the influence of the pregnancy outcome and clinical significance, and to guide the single umbilical arterial pregnant women prenatal care. Methods： Retrospective analysis from January 2008 to January 2011, in our hospital maternity hospital childbirth 40 cases of pregnancy with single umbilical arterial diagnostic method, delivery mode and the pregnancy outcome. Results： 40 cases, 38 cases B ultrasonic diagnosis. Postpartum diagnosed in 2 cases, postpartum check umbilical cord when placenta diagnosis. No fetal abnormalities in 23 cases, single umbilical arterial merger fetal growth limited 6 cases, combined with 10 cases of fetal abnormalities. Intrauterine demise 4 cases, combined with TaiXin monitoring abnormal （9 ca- ses）. Preterm delivery in 13, 37 cases term delivery. Newborn babies survive 38 cases, 2 cases died. Conclusion： In the exclusion of fetal merges other prenatal deformity or chromosome abnormality, can consider to continue to pregnancy, and strengthen the premature pregnancy and care, early detection fetal growth limited and fetal distress, and improve the quality of the baby is born.

关 键 词：单脐动脉 妊娠结局 畸形 胎儿 

分 类 号：R714.5[医药卫生—妇产科学]