222例隐性及显性脐带脱垂临床分析  

Clinical analysis of 222 cases of dominant and recessive umbilical cord prolapse

作　　者：孙美玉[1] 姜伟[1] 王冬颖[1] SUN Meiyu;JIANGWei;WANG Dongying(Department of Obstetrics and Gynecology,ShenyangWomen's and Children's Hospital,Shenyang,Liaoning,110011,China)

机构地区：[1]沈阳市妇婴医院妇产科,辽宁沈阳110011

出　　处：《当代医学》2021年第3期70-72,共3页Contemporary Medicine

摘　　要：目的探讨隐性及脐带脱垂的高危因素、诊断及治疗方法。方法回顾性分析2013年11月至2019年5月沈阳市妇婴医院222例患者的临床资料,归纳、分析其高危因素、诊断方法、治疗及新生儿预后。结果189隐性脐带脱垂患者中135例具有高危因素,33例显性脐带脱垂患者中30例具有高危因素。产前主要通过内诊、产前胎心异常及超声检查诊断发现脐带脱垂。隐性脐带脱垂患者剖宫产175例,助产分娩6例,待产出院随访8例;1例患者来院时已胎死宫内,1例患者放弃胎儿引产。显性脐带脱垂剖宫产24例,助产分娩9例;所有活产儿均预后良好。结论所有患者均有发生隐性脐带脱垂的可能,具有高危因素,尤其多个高危因素的患者更应提高警惕,高危脐带脱垂患者破膜后,出现分娩预兆及胎心异常时应警惕脐带脱垂发生,不同情况患者应采取不同处理方式。Objective To explore the risk factors,diagnosis and treatment of dominant andrecessive umbilical cord prolapse.Methods The clinical data of 222 cases from November 2013 to May 2019 admitted to Shenyang Women's and child's hospital were analyzed retrospectively,and the high-risk factors,diagnostic methods,treatment methods and neonatal prognosis were summarized and analyzed.Results High risk factors were found in 135 of 189 patients with dominantumbilical cord prolapse and in 30 of 33 patients with recessive umbilical cord prolapse.Prenatal diagnosis of umbilical cord prolapse mainly through internal diagnosis,prenatal fetal heart disease and ultrasound diagnosis.There were 175 cases of recessive umbilical cord prolapse by cesarean section,6 cases of midwifery and 8 cases of follow-up.1 case came to the hospital with fetal death in utero,and one patient gave up the fetus.There were 24 cases of obvious prolapse of umbilical cord by cesarean section and 9 cases of midwifery.All live births had good prognosis.Conclusion All patients have the possibility of recessive umbilical cord prolapse,especially the patients with high risk factors and multiple high risk should be more vigilant.The patients with high risk of umbilical cord prolapse should be alert to the occurrence of umbilical cord prolapse after rupture of membranes,occurrence of birth omens and abnormal fetal heart,different treatment methods should be adopted for patients with different conditions.

关 键 词：脐带脱垂 高危因素 诊断 治疗 

分 类 号：R714.434[医药卫生—妇产科学]