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目的 :探讨脐带先露及脱垂的诊断和处理。方法 :对脐带先露及脱垂 82例进行回顾性分析。结果 :B超提示脐带先露 5例 ,阴道内诊确诊 3例 ;剖宫产围产儿死亡明显低于阴道分娩 (P <0 .0 1) ;脐带先露围产儿死亡较脱垂少 (P <0 .0 1) ;待产及术中确诊者围产儿无死亡 ,第一产程确诊者剖宫产围产儿死亡明显低于阴道分娩 (P <0 .0 1) ,第二产程确诊者两种分娩方式则无差异。结论 :B超和阴道内诊可协助诊断脐带先露 ,一旦确诊为脐带先露或脱垂 ,若未临产或处于第一产程时应以剖宫产结束分娩为宜 ,若处于第二产程则视情况选择分娩方式以最快速度结束分娩。
Objective: To investigate the diagnosis and treatment of umbilical cord dew and prolapse. Methods: 82 cases of umbilical cord dew and prolapse were retrospectively analyzed. Results: Ultrasonography revealed 5 cases of umbilical cord exposure and 3 cases of intravaginal diagnosis. The death rate of perinatal cesarean section was significantly lower than that of vaginal delivery (P <0.01). Perinatal umbilical cord perinatal mortality was less than that of prolapsed <0. 0 1). The perinatal death in the patients to be diagnosed and during operation was significantly lower than that in vaginal delivery (P <0.01). The perinatal mortality in cesarean section in the first stage of labor was significantly lower than that in vaginal delivery (P <0.01) There was no difference in the mode of delivery. Conclusion: B ultrasound and vaginal diagnosis can help diagnose umbilical cord exposure, once diagnosed as umbilical cord exposure or prolapse, if not labor or in the first stage of labor should be cesarean end delivery is appropriate, if in the second stage of labor Choose the mode of delivery as soon as possible to end childbirth.