羊水过少101例临床分析

Clicnical analsis os 101 oligohydramnios

目的探讨羊水过少的病因及其相关因素，寻找正确的处理方法，降低围生儿病死率。方法对羊水过少组101例和羊水正常组100例进行对比分析。结果羊水过少高发于40wk后，B超对羊水量的估计准确率达95．87％，提示可作为及时发现羊水过少的可靠方法。羊水过少出现最多的妊娠并发症为过期妊娠、妊娠期高血压疾病和胎儿生长受限，羊水量越少，羊水粪染及胎儿宫内窘迫发生率越高。结论羊水过少确诊后，应结合是否合并高危因素，胎心监护及宫颈条件综合分析，采取必要措施，尽量以剖宫产终止为宜。

Objective To discuss the cause and related factors of oligohydramnios, Pursue the correct treatment and reduce the mortality of perinatal infant. Methods Using retrospectively analysis method and doing the comparative analysis between the 101 cases of hypamnion group and 100 cases normal amniotic fluid group. Results Hypamnion mostly happened after 40 weeks. Estimating amniotic fluid rate with ultrasonic B can be 95.87%, indicating it a certain methods to find oligohydramnios. The most pregnancy complications of hypamnion were prolonged pregnancy,pregnancy high blood pressure and limited fetus growth. The amniotic fluid content is less, and the happening rate of amniotic fluid contamination and fetal distress is more. Conclusion Since oligohydramnios diagnosed, we must take necessary step for parturition combine with high dangerous complication, clinical fetus ward and the condition of cervix. Cesarean section should be considered the best choice.