脐带及胎盘超声产前诊断在产科急诊风险评估中的应用价值  

Application analysis of prenatal ultrasound diagnosis of umbilical cord and placenta in obstetric emergency risk assessment

作　　者：李嘉 周富强[1] 陈金华[1] LI Jia;ZHOU Fuqiang;CHEN Jinhua(Department of Ultrasound,Longgang Central Hospital,Shenzhen,Guangdong,518000,China)

机构地区：[1]深圳市龙岗中心医院超声科,广东深圳518000

出　　处：《当代医学》2023年第7期115-117,共3页Contemporary Medicine

摘　　要：目的探讨脐带、胎盘超声产前诊断在产科急诊风险评估中的应用价值。方法选取2018年1月至2020年1月本院收治的80例脐带、胎盘超声异常产妇作为研究组,另选取同期入院产检的80名健康产妇作为对照组。两组均行脐带、胎盘超声产前诊断,比较两组胎儿血管阻力指数(RI)、脐动脉血流收缩期最大流速与血流舒张末期的最小流速的比值(S/D)、孕妇分娩方式、新生儿Apgar评分、胎儿羊水污染率、手术时间、产程、住院时间。结果研究组RI、S/D值与剖宫产率、胎儿羊水污染率均高于对照组,新生儿Apgar评分低于对照组,手术时间、产程及住院时间均长于对照组,差异有统计学意义(P<0.05)。结论产科急诊风险评估中脐带、胎盘超声产前诊断的应用效果显著,可准确诊断胎儿异常,降低分娩风险,可为临床制订治疗方案提供参考。Objective To analyze the value of prenatal ultrasound diagnosis of umbilical cord and placenta in obstetric emergency risk assessment.Methods 80 pregnant women with abnormal umbilical cord and placenta ultrasound admitted to our hospital from January 2018 to January 2020 were selected as the study group,and 80 healthy pregnant women admitted to our hospital during the same period were selected as the control group;both groups were given prenatal diagnosis of umbilical cord and fetal disc ultrasound,fetal vascular resistance index(RI),peak systolic velocity/end diastolic velocity(S/D),mode of delivery,pregnant women,neonatal Apgar score,fetal amniotic fluid pollution rate,operation time,stage of labor and hospital stay were compared between the two groups.Results The RI and S/D values,cesarean section rate and fetal amniotic fluid contamination rate in the study group were higher than those in the control group,the neonatal Apgar score of newborn was lower than that in the control group,and the operation time,stage of labor and hospital stay were longer than those in the control group,the differences were statistically significant(P<0.05).Conclusion The application effect of umbilical cord and placenta ultrasound prenatal diagnosis in obstetric emergency risk assessment is significant,which can accurately diagnose fetal abnormalities,reduce the risk of delivery,and provide reference for the development of treatment plan.

关 键 词：产科急诊风险评估 脐带 胎盘 超声 产前诊断 

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