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目的:脐带帆状附着围生儿的结局。方法:回顾性分析2009年7月～2011年6月宁波市鄞州第二医院足月分娩并确诊脐带帆状附着患者9例,分析一般资料、既往孕产史、产前检查次数、产前B超检查情况、产前异常出血史、分娩方式、手术指征、妊娠结局、围生儿情况等。结果:9例中,阴道分娩3例,死胎1例,死产1例,正常分娩1例;剖宫产并活产6例;新生儿抢救2例,1例存活,1例抢救未成功,围生儿死亡率33.3%,新生儿出生体重2 600～3 800 g。结论:脐带帆状附着患者行剖宫产分娩有利于围生儿预后,临产前已诊断的病例宜择期行剖宫产,寻找脐带帆状附着的产前诊断手段是当前围产期保健的重要任务之一。
Purpose: Umbilical cord attached to perinatal outcome. Methods: From July 2009 to June 2011, 9 cases of full-term delivery and umbilical cord attachment in Ningbo Yinzhou No.2 Hospital were analyzed retrospectively. General information, previous pregnancy history, number of prenatal examinations, prenatal B Ultrasonography, history of abnormal prenatal bleeding, mode of delivery, surgical indications, outcome of pregnancy, and perinatal conditions. Results: Among the 9 cases, 3 were vaginal delivery, 1 stillbirth, 1 stillbirth, 1 normal delivery, 6 cesarean and live births, 2 newborns survived, 1 survived, 1 failed to rescue, Perinatal mortality was 33.3% and birth weight was 2,600-3,800 g. Conclusions: Cesarean section delivery in umbilical cord-like attachment patients is beneficial to the prognosis of perinatal children. Prenatal diagnosis of cases should be elective cesarean section, looking for prenatal diagnosis of umbilical cord-like attachment is the current perinatal care is important One of the tasks.