94例脐带过度扭转产妇的妊娠结局分析  

Pregnancy outcome analysis of 94 cases with umbilical cord torsion

作　　者：谢秋霞 冯小月 XIE Qiuxia;FENG Xiaoyue(Department of Obstetrics and Gynecology,Shanghai Songjiang Maternal and Child Health Hospital,Shanghai 201600)

机构地区：[1]上海市松江区妇幼保健院妇产科,上海201600

出　　处：《当代医药论丛》2023年第1期100-103,共4页

摘　　要：目的:探讨并分析94例脐带过度扭转产妇的妊娠结局。方法:回顾性收集2018年8月至2019年9月期间在上海市松江区妇幼保健院建卡产检并分娩的脐带过度扭转94例产妇的临床资料,将其纳入观察组,同时选取同期分娩的无脐带异常的94例产妇作为对照组。收集两组产妇的一般资料、分娩情况及围产儿情况,分析脐带过度扭转产妇的妊娠结局特点。结果:两组产妇的年龄、孕次、产次等基本情况比较,差异无统计学意义(P>0.05)。与对照组产妇相比,观察组产妇中孕周<37周分娩产妇的占比更高,孕周≥37周分娩产妇的占比更低,差异有统计学意义(P<0.05)。与对照组产妇相比,观察组产妇中顺产产妇的占比更低,行产钳助产及剖宫产产妇的占比均更高,差异有统计学意义(P<0.05)。与对照组产妇相比,观察组产妇中剖宫产指征为“胎儿宫内窘迫可能”产妇的占比更高,差异有统计学意义(P<0.05)。与对照组产妇相比,观察组产妇胎儿宫内窘迫、新生儿窒息、胎儿宫内生长受限及围产儿死亡的发生率均更高,其羊水污染的发生率更低,差异有统计学意义(P<0.05)。脐带螺旋圈数超过30圈后,随着脐带螺旋圈数的增加,胎儿宫内窘迫和早产的发生率均呈上升趋势,足月小样儿的娩出率无明显差异。结论:脐带过度扭转增加了胎儿宫内生长受限、胎儿宫内窘迫、新生儿窒息等不良妊娠结局的发生风险,并影响产妇的分娩方式。Objective:To investigate and analyze the pregnancy outcome of 94 cases of women with excessive torsion of umbilical cord.Methods:The clinical data of 94 pregnant women with excessive umbilical cord torsion who were given birth in Shanghai Songjiang District Maternal and Child Health Hospital from August 2018 to September 2019 were retrospectively collected and included into the observation group,and 94 pregnant women with no abnormal umbilical cord were selected as the control group.The general data,delivery and perinatal conditions of the two groups of parturients were collected,and the characteristics of pregnancy outcomes of parturients with excessive torsion of umbilical cord were analyzed.Results:There was no significant difference in the age,gestational number and birth rate between the two groups(P>0.05).Compared with the control group,the proportion of pregnant women<37 weeks in the observation group was higher,and the proportion of pregnant women≥37 weeks was lower,the difference was statistically significant(P<0.05).Compared with the control group,the proportion of parturient parturient in observation group was lower,and the proportion of parturient in forceps assisted delivery and cesarean section was higher,the difference was statistically significant(P<0.05).Compared with the control group,the proportion of cesarean section indicating“possible fetal distress in utero”in the observation group was higher,the difference was statistically significant(P<0.05).Compared with the control group,the incidence of feta l distress,neonatal asphyxia,intrauterine growth restriction and perinatal death were higher in the observation group,and the incidence of amniotic fluid contamination was lower,the difference was statistically significant(P<0.05).When the number of umbilical cord coils was over 30,the incidence of fetal distress and premature birth showed an increasing trend with the increase of the number of umbilical cord coils.There was no significant difference in the delivery rate of full-term small ba

关 键 词：脐带过度扭转 分娩方式 妊娠结局 

分 类 号：R714.25[医药卫生—妇产科学]