介入性超声羊膜腔内治疗与母儿安危评估  

Evaluation for the safety of maternal and fetus by the interventional ultrasonography therapy in amniotic cavity.

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：《中国优生与遗传杂志》2000年第5期69-70,共2页Chinese Journal of Birth Health & Heredity

基　　金：广州市科委重点科研项目基金资助!(编号 :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NST检查在介入性超声诊疗前后比较无显著性差异 (P <0 .0 5 ) ,而羊水和I UGR的改善则有显著意义 (P <0 .0 1) ,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 ultrasonograrhy apply to fetal intrauterine therapy.To assess successful rate and safety with maternal and fetal condition.Methods:44 cases with oligohydramnios or IUGR have been practised intrauterine therapy with invasive ultrasonography.Results:Utrasound guided punctures are all succesful.Fetal heart rate and NST were no statistical difference between before therapy and after therapy(P>0.05).Amniotic fluid improved was sighificantly mcreased (P<0.01).There were no maternal complication,fetal distress asphyxia neonatorum and fetal or neonate death .Conclusion:Invasive ultrasonography is a new technique with puncture for qualitative diagnosis or/and therapy based on real time ultrasound.It has high successful rate ,less complications,is less traumatic and could be repeated.It is relatively safe,reliable therapeatic method in obstetrics and ante-wall placenta state.

关 键 词：介入性超声 羊膜腔 治疗 孕妇 胎儿 围产期医学 

分 类 号：R445.1[医药卫生—影像医学与核医学]