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B超诊断羊水偏少孕妇阴道试产临床分析 被引量:5

Analysis of Trial of Labor with Borderline Oligohydramnios Assessed by Ultrasound
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摘要 目的:分析妊娠足月妇女B超检查示羊水偏少时阴道试产对围产期结局的影响。方法:应用羊水指数(AFI)法估测羊水量,并测定脐动脉收缩期最大血流速度(S)和舒张末期血流速度)的比值(S/D值),比较分析72例B超诊断羊水偏少者(观察组)和80例羊水量正常的足月妊娠妇女(对照组)阴道试产后的分娩结局。结果:两组新生儿死亡率和重度窒息发生率差异无显著性(P>0.05),观察组急诊剖宫产率明显升高(P<0.05)。结论:B超诊断羊水偏少的足月妊娠妇女,在严密监护下可行阴道试产。 Objective: To determine the effect of borderline oligohydramnios on perinatal outcome. Methods: Patients admitted for delivery had an amniotic fluid index (AFI) assessment. Color Doppler was used to examine the systolic/diastolic ratio of the blood flow velocity in fetal unbilical arteries. Normal amniotic fluid volume (n=80) and borderline oligohydramnios (n=72) were compared on perinatal outcomes as all of the patients had trial of labor, Results: There was no difference in the incidence of fetal distress and neonatal mortality between the two groups (P〉0.05). The incidence of emergency section in borderline eligohydramnios group was significantly higher. Conclusions: The patients with borderline oligohydranmios may have a trial of labor under proper intensive care.
作者 赵诗坚
出处 《中国医药导刊》 2008年第9期1361-1361,1363,共2页 Chinese Journal of Medicinal Guide
关键词 羊水偏少 试产 超声 Borderline oligohydramnios Trial of labor Ultrasonography
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  • 1张志诚主编.临床产科学.第1版,天津:天津科学技术出版社,1994:222
  • 2Rutherford SE, Phelan JP, Smith CV, et al. The four quadrant assessment of amniotic fluid volumn: an adjunct to antepartum fetal heart rate testing[J]. Obstet Gynecol, 1987;70:353-356
  • 3Moorcm.Assessment of amniotic fluid d volumn in at-risk pregnancies[J].Clin ObstetGynecol, 1999;42:78-80
  • 4谯淑平,阳光珍,李兰,陶晓靖,蔡春华.羊水过少的诊断与处理[J].实用妇科与产科杂志,1992,8(3):137-139. 被引量:66

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