目的探讨脐带帆状附着前置血管的诊断及处理。方法对５例脐带帆状附着前置血管进行回顾性分析。结果４例并发前置血管破裂，均在分娩前或分娩中发生胎膜破裂和阴道出血，并于出血后短时间内出现胎儿窘迫。４例中（１例双胎）５个胎儿仅获１个活婴，且重度窒息。结论本病对围产儿危害极大，必须引起高度重视。处理的关键主要是迅速终止妊娠，并做好新生儿抢救和输血准备。 Objective To investigate the diagnosis and treatment of umbilical cord-like adherent vessels. Methods Five cases of umbilical cord-like adherent vessels were retrospectively analyzed. Results In all 4 cases, ruptured anterior rupture of blood vessels occurred rupture of membranes and vaginal bleeding before delivery or during delivery, and fetal distress occurred shortly after hemorrhage. In 4 cases (1 twin) 5 fetuses received only 1 live birth and severe asphyxia. Conclusion The disease is extremely harmful to perinatal children and must be given high priority. The key is to terminate the pregnancy quickly, and make newborn rescue and blood transfusion preparation.