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目的验证超声诊断脐带绕颈在分娩方式选择中的价值。方法选择我院2015年10月至2016年10月在产科住院待产,前次超声诊断为脐带绕颈待产妇300例。在预产期前1天进行常规超声检查,根据超声诊断脐带绕颈、脐带绕颈周数、松紧度。给予产科以合理的分娩方式选择,观察新生儿的阿普加评分,对比2014年10月至2015年10月前次超声诊断为脐带绕颈待产妇300例的新生儿阿普加评分情况。结果对于脐带绕颈消除的待产妇,可以采用经阴顺产;脐带绕颈1周者,可以选择试经阴顺产,经阴顺产不顺利后选择剖宫产;脐带绕颈2周以上者,建议采用剖宫产。明显降低了新生儿窘迫及围生儿死亡率。结论超声诊断脐带绕颈简便、准确、无创,根据超声诊断来选择合适的分娩方式,能够明显降低了围生儿死亡率。在产科分娩方式的选择上具有高度的诊断价值。
Objective To verify the value of ultrasonic diagnosis of cord around the neck in the choice of mode of delivery. Methods Select our hospital in October 2015 to October 2016 in obstetrics hospital for treatment, the last ultrasound diagnosis of 300 cases of umbilical cord around the neck to be mothers. One day before the expected date of routine ultrasound examination, according to ultrasound around the neck cord, umbilical cord around the neck number, tightness. Obstetrics and gynecology to choose a reasonable mode of delivery, observation of newborns Apgar score, compared October 2014 to October 2015 the previous ultrasound diagnosis of 300 cases of umbilical cord around neck maternal apgar score. Results For the umbilical cord around the neck to eliminate the maternal, you can use the vaginal delivery; umbilical cord around the neck 1 week, you can choose to test vaginal delivery, vaginal delivery is not successful choose cesarean section; umbilical cord around the neck more than 2 weeks, it is recommended Cesarean section. Significantly reduced neonatal distress and perinatal mortality. Conclusion Ultrasound diagnosis of the umbilical cord around the neck is simple, accurate and noninvasive. Choosing the appropriate mode of delivery according to ultrasound diagnosis can significantly reduce perinatal mortality. In the choice of obstetric delivery mode has a high diagnostic value.