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目的本研究通过对40例产前超声发现的单脐动脉病例的临床情况分析,探讨单脐动脉对妊娠结局的影响及临床意义,从而指导单脐动脉孕妇的孕期保健。方法回顾分析2008年1月～2011年1月,在我院产科住院分娩的40例妊娠合并单脐动脉的诊断方法、分娩方式和妊娠结局。结果 40例病例中,38例病例B超诊断.产后确诊2例,产后检查脐带胎盘时诊断。无胎儿发育异常的23例,单脐动脉合并胎儿生长受限6例,合并胎儿发育异常10例。宫内死胎4例,合并胎心监护异常9例;早产13例,足月分娩37例。新生儿存活38例,死亡2例。结论产前在排除胎儿合并其他畸形或染色体异常时,可以考虑继续妊娠,同时加强妊娠期及产程监护,及早发现胎儿生长受限及胎儿窘迫,提高新生儿出生质量。
Objective This study analyzed the clinical situation of 40 cases of unilateral umbilical artery detected by prenatal ultrasound and explored the influence of single umbilical artery on the pregnancy outcome and its clinical significance to guide the pregnant women during single pregnancy. Methods A retrospective analysis of January 2008 ~ January 2011, 40 cases of obstetric hospital delivery in our hospital diagnosis of single umbilical artery with pregnancy diagnostic methods, mode of delivery and pregnancy outcomes. Results Among the 40 cases, 38 cases were diagnosed by B ultrasound, 2 cases were diagnosed after delivery, and the umbilical cord placenta was diagnosed after delivery. There were 23 cases without fetal development abnormalities, 6 cases with single umbilical artery with limited fetal growth, and 10 cases with fetal abnormalities. 4 cases of intrauterine fetal death, fetal abnormal heart monitoring with 9 cases; premature delivery in 13 cases, 37 cases of full-term delivery. Neonatal survival in 38 cases, 2 deaths. Conclusion Prenatal ruled out fetus with other malformations or chromosomal abnormalities, you can consider continuing pregnancy, while strengthening the monitoring of pregnancy and labor, early detection of fetal growth restriction and fetal distress, improve newborn birth quality.