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目的:探讨羊水过少的处理方式、分娩方式以及对围产儿预后的影响。方法:回顾性分析2008年1月～2009年6月150例在解放军第421医院住院分娩诊断为羊水过少产妇的临床资料。结果:①150例产妇中,产前B超诊断AFI≤8 cm者136例,另外14例产前B超未诊断,但产后证实为羊水过少,羊水过少超声诊断符合率为90.67%。②阴道分娩组胎儿窘迫、羊水污染性状及新生儿窒息发生率明显高于剖宫产组(P<0.05)。③羊水量越少,胎儿羊水胎粪污染、胎儿窘迫率及新生儿窒息率明显增高(P<0.05)。结论:及时处理羊水过少可以降低围产儿并发症的发生率。
Objective: To investigate the treatment of oligohydramnios, mode of delivery and prognosis of perinatal children. Methods: The clinical data of 150 cases diagnosed as oligohydramnios in hospital delivery at No. 421 Hospital of PLA from January 2008 to June 2009 were analyzed retrospectively. Results: ① Among 150 cases of mothers, 136 cases were diagnosed by prenatal B-mode ultrasonography with AFI ≤ 8 cm, and 14 cases were diagnosed as prenatal B-mode ultrasound. However, the number of prenatal confirmed as oligohydramnios was 90.67%. ② vaginal delivery group fetal distress, amniotic fluid contamination and neonatal asphyxia were significantly higher incidence of cesarean section (P <0.05). ③ The less amniotic fluid, fetal amniotic fluid meconium contamination, fetal distress rate and neonatal asphyxia was significantly higher (P <0.05). Conclusions: Timely treatment of oligohydramnios can reduce the incidence of perinatal complications.