脐带异常367例临床分析

CLINICAL ANALYSIS OF UMBILICUS CORD ABNORMALITY

1989年间1284例分娩中发现脐带异常367例,发生率为28.6％。脐带异常以缠绕、扭转、打结、附着异常最多见,过长,过短、脱垂等次之。脐带异常不但是引起胎儿宫内窘迫和新生儿窒息的常见原因,而且也是导致难产和增加手术产率的重要因素。就脐带异常对胎儿危害,脐带异常的早期诊断及在产程中的特点提出了讨论。

There were altogether 1284 childbirths in our hospital in 1989. Three hundred and sixty-seven cases of umbilicus cord abnormality were observed in these childbirths, the incidence rate being 28.58 percent. Most of the abnormalities were twining, twist, tieing and abnormal attachment. The other abnormalities were excessive length and shortness, prolapse, and so on. The umbilicus cord abnormality was not only the common causes for intrauterine fetal distress and infantile asphyxia, but also important factors in causing difficnlt labor and increasing operative deliveries. Also discussed are the harm of umbilicus cord abnormalities to fetus, early diagnosis and features in the birth process.