急诊床旁超声对血管前置及脐带脱垂的诊断价值  

Bedside Ultrasonography for Emergent Patients in the Diagnosis of Vasa Previa and Umbilical Cord Prolapse

作　　者：郭朝锋[1] 王岩青[1] 王晓静[1] 薛洁[1] 高白[1] 史念曾[1] 

机构地区：[1]南方医科大学附属郑州人民医院超声科,河南郑州450000

出　　处：《中国医学影像学杂志》2013年第10期780-782,共3页Chinese Journal of Medical Imaging

摘　　要：目的探讨急诊床旁超声在血管前置及脐带脱垂诊断中的价值。资料与方法回顾性分析12例血管前置及18例脐带脱垂患者的资料,分析急诊床旁超声诊断血管前置及脐带脱垂的检出率。结果 12例血管前置患者急诊床旁超声检出9例,2例误诊为脐带脱垂,1例漏诊,漏诊者死于经阴道分娩时发生的大出血。18例脐带脱垂患者急诊床旁超声检出15例,2例误诊为血管前置,1例漏诊,无死亡病例。急诊床旁超声对血管前置及脐带脱垂的检出率差异无统计学意义(P>0.05)。结论急诊床旁超声可以及时诊断血管前置及脐带脱垂,为临床提供指导,降低胎儿及围生儿病死率。Purpose To investigate the value of bedside ultrasonography for emergent patients in the diagnosis of vasa previa and umbilical cord prolapse. Materials and Methods The bedside ultrasonography data of 12 emergent cases ofvasa previa and 18 emergent cases of umbilical cord prolapse were retrospectively analyzed for detection rate. Results Nine out of 12 emergent patients with vasa previa were detected by bedside ultrasonography; 2 were misdiagnosed as umbilical cord prolapsed; and I patient who had missed diagnosis suffered fetal demise during vaginal labour. Fifteen out of 18 emergent patients with umbilical cord prolapse were detected by bedside ultrasonography; 2 were misdiagnosed as vasa previa; and 1 missed diagnosis （no death case was reported）. The detection rates for both groups of patients had no significant difference （P〉0.05）. Conclusion Bedside ultrasonography for emergent patients can visualize the traveling ofvasa previa and umbilical cord prolapse so as to promptly provide evidence tbr clinical diagnosis and reduce perinatal mortality.

关 键 词：超声检查 产前 胎儿 血管前置 脐带脱垂 急性病 

分 类 号：R714.252[医药卫生—妇产科学] R714.56[医药卫生—临床医学]