B超在产程中的应用  

Use of Ultrasound in Labor and Delivery

作　　者：赖爱鸾[1] 王海鸥[1] 高青[1] 张建生[1] 

机构地区：[1]首都医科大学附属北京复兴医院妇产科

出　　处：《首都医科大学学报》2003年第2期193-195,共3页Journal of Capital Medical University

摘　　要：为探讨产程中应用B超解决各种产科问题的实际价值,选择我科产房待产者共92人(孕周36周～41周+3d),用B超监测羊水、胎方位、胎儿生物物理图像等。结果显示应用B超检查胎方位较手法检查更方便和准确;B超检查发现羊水偏少者,孕周>41周、胎膜早破及胎儿生长迟缓(IUGR)者明显高于孕周<41周者(P<0.01);产程中胎儿生物物理图像与胎心监护结合进行,有利于提高胎儿宫内窘迫的阳性监测率,并可判断产前出血的原因、胎盘早剥、前置胎盘等。提示:B超在产程中的应用对解决产科问题具有重要作用。To study the practical value of ultrasound application to labor and delivery for obstetrical problems, 92 cases in delivery room were investigated in amniotic fluid volume, fetal position, biophysical profile and other problems. Amniotic fluid was decreased in some cases of >41 weeks, cases of premature of membranes and IUGR were more than those of < 41 weeks (P < 0. 01). The use of ultrasound in labor to confirm fetal position is more convenience than manual examination. Biophysical profile combined with NST can increase exactitude of fetal distress. It is useful to diagnosis of placenta previa, abruptio placenta and other abnormality in labor and delivery. The use of ultrasound in labor and delivery plays an important role in detecting obstetrical problems, fetal position, amniotic fluid volume and Biophysical profile.

关 键 词：B超 产程 临床应用 羊水 胎方位 胎儿生物物理图像 

分 类 号：R714.3[医药卫生—妇产科学] R445.1[医药卫生—临床医学]