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目的:探讨脐带异常与胎心监护异常的关系、B超诊断的符合率及脐带异常对胎儿窘迫、羊水粪染及新生儿窒息的影响。方法:回顾性分析2006年1月～2007年3月在我院产科住院分娩的1281例孕妇的病例资料。结果:结合胎心监护频发减速及近期B超提示脐带异常,分娩前可对脐带异常作出诊断。同时,脐带异常者发生羊水粪染、胎儿窘迫机率明显增高,剖宫产率增高。结论:当出现胎儿宫内窘迫征兆时,结合B超及胎心监护检查,应考虑到脐带异常。对短时间内不能经阴道分娩者,及时剖宫产可改善围产儿结局。
Objective: To investigate the relationship between umbilical cord abnormalities and abnormal fetal heart rate monitoring, coincidence rate of ultrasound diagnosis and abnormal umbilical cord affection on fetal distress, meconium-stained amniotic fluid and neonatal asphyxia. Methods: A retrospective analysis of January 2006 to March 2007 in our hospital obstetrics and gynecology hospital delivery of 1281 cases of pregnant women’s case information. Results: In combination with the frequent deceleration of fetal heart rate monitoring and the recent abnormalities of the umbilical cord in the B-ultrasound, umbilical cord abnormalities could be diagnosed before delivery. At the same time, abnormal umbilical cord amniotic fluid meconium occurred, fetal distress was significantly increased, cesarean section rate increased. CONCLUSIONS: In the presence of signs of fetal distress, combined with B-ultrasound and fetal heart rate monitoring, umbilical cord abnormalities should be considered. For a short period of time can not be vaginal delivery, timely cesarean delivery can improve perinatal outcome.