妊娠合并糖尿病巨大儿的超声预测与分娩处理  

Research on the Clinical Diagnosis Effect of Ultrasonography in the Fetal Macrosomia and the Selection of Delivery Methods for Pregnant Patients Associated with Diabetes Mellitus

作　　者：金潇雅 

机构地区：[1]郑州市中医院功能科彩超室,河南郑州450006

出　　处：《口岸卫生控制》2017年第6期25-26,29,共3页Port Health Control

摘　　要：目的探讨妊娠合并糖尿病巨大儿的超声预测效果及分娩期处理方法。方法从2015年12月至2017年2月我院收治的妊娠合并糖尿病孕妇中抽选140例作为研究对象。采用超声对胎儿进行检测,测量胎儿的腹围、双顶径及股骨长。之后,根据测量结果为孕妇选择合理的分娩方式。结果腹围、双顶径和股骨长度与新生儿的体重有着紧密的关系。分娩方式:剖宫产33例,占比71.74%;引产4例,并失败,占比8.70%;阴道分娩9例,占比19.57%。结论结合孕妇的临床资料以及胎儿的腹围、双顶径、股骨长等预测胎儿体重,有助于医生为妊娠合并糖尿病患者选择合适的分娩方式,减少并发症的发生。Objective to study the clinical diagnosis effect of ultrasonography in the fetal macrosomia and the selection of delivery methods for pregnant patients associated with diabetes mellitus. Methods 140 pregnant patients associated with diabetes mellitus treated from December 2015 to February 2017 in our hospital were selected. Based on the ultrasound examination results,the fetal abdominal girth,biparietal diameter and femoral length was detected. According to the detection results,the reasonable delivery methods were selected. Results The fetal abdominal girth,biparietal diameter and femoral length was closely correlated with the fetal weight.There were 33 cases of choosing the Cesarean section（71.74%）,4 failed cases with induced labor（8.70%） and 9 cases of choosing the vaginal delivery（19.57%）. Conclusion According to the patient＇s clinical data and the detection of the fetal abdominal girth,biparietal diameter and femoral length,it is favorable to evaluate the fetal weight,select the reasonable delivery methods and reduce the incidence rate of complications.

关 键 词：妊娠合并糖尿病 巨大儿 超声 分娩 

分 类 号：Q714.25[生物学—分子生物学]