产程超声的相关问题探讨  

Issues in labor ultrasound

作　　者：陈高文[1] 李湘元 蔡蔚[1] 李肖璇[1] 罗家懋 马颖[1] 胡冬梅[1] 王沂峰[1] 潘石蕾[1] Chen Gaowen;Li Xiangyuan;Cai Wei;Li Xiaoxuan;Luo Jiamao;Ma Ying;Hu Dongmei;Wang Yifeng;Pan Shilei*(Obstetrics and Gynecology Center,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China;Reproductive Medicine Center,Guangdong Women and Children Hospital,Guangzhou 510010,Chin)

机构地区：[1]南方医科大学珠江医院妇产医学中心,广州510282 [2]广东省妇幼保健院生殖健康与不孕症科,广州510010

出　　处：《中华围产医学杂志》2021年第12期949-955,共7页Chinese Journal of Perinatal Medicine

基　　金：国家重点研发计划(2019YFC0121904)。

摘　　要：在产程中预判中转剖宫产的危险因素,提高围分娩期的医疗安全,值得各方重视。虽然国际妇产科超声联盟呼吁开展产时超声助力产程管理和安全分娩,但是产时超声目前在国内尚未普及。南方医科大学珠江医院妇产医学中心团队结合近年来开展产程超声的经验体会,尝试总结目前产程超声的各项指标的测量技术要点和意义,并介绍第一产程中新的产程超声监测指标(枕骨-颈椎角度)对头位难产的预测作用。Identification of the risk factors for conversion to cesarean section during labor can significantly improve the mother and infant outcomes.Though advocated by the International Society of Ultrasound in Obstetrics and Gynecology(ISUOG),intrapartum ultrasound is not widely practiced in managing labor progress.The Obstetrics and Gynecology Center of Zhujiang Hospital of Southern Medical University has carried out intrapartum ultrasound in recent years.We summarize the clinical key point and the significance of measuring the major sonographic parameters during labor and illustrate the role of occiput-spine angle,a new sonographic index,in predicting fetal head descent during the first stage of labor.

关 键 词：产程超声 枕骨-颈椎角度 分娩安全 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.3[医药卫生—诊断学]