B超引导下行单胎臀位外倒转的有效性及安全性探讨  

Study on the effectiveness and safety of external breech inversion of single fetus guided by B-ultrasound

作　　者：曹灵丽 凌奇[1] Cao Lingli;Ling Qi(Department of Obstetrics,The First People's Hospital of Taicang City,Taicang 215400,China)

机构地区：[1]太仓市第一人民医院产科,江苏太仓215400

出　　处：《实用妇科内分泌电子杂志》2024年第18期17-19,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨B超引导下行单胎臀位外倒转的有效性及安全性。方法选取60例单胎臀位外倒转孕妇,根据臀位外倒转方法不同将孕妇分为观察组(实行B超引导下臀位外倒转)与对照组(不进行特殊处理),每组30例,比较两组胎位矫正成功率、分娩结局及胎儿不良结局情况。结果观察组胎位矫正成功率高于对照组(P<0.05)。观察组阴道分娩率73.33%高于对照组的10.00%(P<0.05)。观察组新生儿窒息、胎儿迫、脐带脱垂总发生率低于对照组,但比较差异无统计学意义(P>0.05)。结论在单胎臀位外倒转中引入B超引导下操作,能够提升臀位外倒转有效性,保证安全性,具有积极影响。Objective To investigate the effectiveness and safety of B-ultrasound guided treatment of single fetal external breech inversion.Methods 60 single pregnant women with external breech inversion were selected and divided into observation group(external breech inversion guided by B-ultrasound)and control group(no special treatment)according to different methods of external breech inversion,with 30 cases in each group.The success rate of fetal position correction,delivery outcomes and adverse fetal outcomes were compared between the two groups.Results The success rate of fetal position correction in the observation group was higher than that in the control group(P<0.05).The vaginal delivery rate in the observation group was 73.33%higher than that in the control group(10.00%)(P<0.05).The total incidence of neonatal asphyxia,fetal distress and umbilical cord prolapse in observation group was lower than that in control group,but the difference was not statistically significant(P>0.05).Conclusion The introduction of B-ultrasound guided operation in single fetal external breech inversion can improve the effectiveness of external breech inversion,ensure the safety,and have a positive impact.

关 键 词：B超引导 单胎臀位 外倒转 有效性 安全性 

分 类 号：R714.44[医药卫生—妇产科学]