超声引导下经皮脐静脉穿刺术的应用  

The Application of Vltrasound-guided Percutaneous Umbilical Blood Sampling

作　　者：马小燕[1] 李秋明[1] 关步云[1] 

机构地区：[1]广州市妇婴医院超声科,510180

出　　处：《中华围产医学杂志》2003年第5期266-268,共3页Chinese Journal of Perinatal Medicine

摘　　要：目的　探讨超声引导下经皮脐静脉穿刺术应用的成功率和安全性。　方法　对应用此穿刺术 872例的成功率和并发症进行分析。　结果　一次进针成功率 6 2 .7% ,2～ 4次进针成功率36 .0 %。发生一过性并发症 31.4 % ,发生严重并发症 0 .3%。　结论　提高超声引导下经皮脐静脉穿刺术的成功率和安全性 ,使此项介入性诊断技术准确、有效、安全地应用于临床。Objective To evaluate the efficacy and safety of ultrasound-guided percutaneous umbilical blood sampling. Methods Eight hundred and seventy-two pregnancies with proper indications underwent ultrasound-guided percutaneous umbilical sampling. The data of each procedure were prospectively collected and subsequently analyzed for successful rate and pregnancy outcomes. Results Of 872 ultrasound-guided percutaneous umbilical sampling, 62.7% were done successfully at the first attempt, 36.0% were done successfully by two to four attempts. 31.4% fetuses had mild procedure-related complications and 0.3% fetuses had severe complications. Conclusion We should improve the efficacy and safety of ultrasound-guided percutaneous umbilical sampling and make it a correct, safe and effective procedure for prenatal diagnosis.

关 键 词：超声引导 经皮脐静脉穿刺术 安全性 成功率 并发症 产前诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]