B超诊断羊水过少孕妇阴道试产152例临床分析

Analysis of 152 Cases of Trial of Vaginal Delivery with Oligohydramnios Assessed by Ultrasound

目的探讨羊水过少孕妇阴道分娩对围产儿的影响,寻找正确的处理方法,降低围产儿病死率。方法采用回顾性调查方法对152例羊水过少足月妊娠妇女及160例羊水正常足月妊娠妇女阴道试产临床资料进行分析。结果羊水过少组羊水粪染、胎儿窘迫、急诊剖宫产率、阴道助产率发生率均明显高于对照组,分娩成功率明显低于对照组,差异显著(P<0.01)。两组新生儿窒息、新生儿肺炎发生率无显著差异(P>0.05)。结论羊水过少确诊后应积极引产,可适当阴道试产,估计短时间内不能分娩者,适时剖宫产结束妊娠为宜。

Objective To determine the effect of vaginal delivery of full-term pregnancy with oligohydramnios on fetus. Methods Retrospective analysis was done on 152 cases full-term pregnancy with oligohydramnios and 160 cases normol full-term pregnancy. The two groups were compared on prenatal outcomes as all of the patients had trial of vaginal delivery. Results In oligohydramnios group the incidence of cloudy amniotic fluid,fetal distress, and emergency section was significantly higher. There were no significant differences in the incidence of neonatal suffocation and neonatal pneumonitis between the two groups. Conclusions The patients with oligohydramnios may have a trial of vaginal delivery under proper intensive care. Cesarean section shall be applied if vaginal delivery is not successful.