彩色多普勒超声诊断胎儿脐带绕颈的临床价值

The clinical value of fetus cord around neck by color Doppler ultrasound diagnosis

目的:探讨彩色超声多普勒对胎儿脐带绕颈的临床诊断价值。方法:对136例胎儿有无脐带绕颈进行彩色多普勒检查与分娩结果对照,并进行脐动脉血流参数分析。结果:136例胎儿中,胎儿娩出证实132例,诊断符合率达97%。结论:彩色多普勒对脐带绕颈的诊断较二维显像获得更多的诊断信息,可判断胎儿是否有宫内低氧,提高了脐带绕颈产前诊断率,可指导产科临床选择正确的分娩方式。

Objective： To approach the clinical diagnosis value of fetus cord around neck by color Doppler uhrasaund. Methods： 136 fetus, to observe if they were cord around neck or not, and to analysis umbilical artery blood flow parameter. Results： 132 cases existed cord around neck, diagnose accordance rate was 97%. Conclusion： Color Doppler ultrasound may to get more diagnosis information than 2D ultrasound, and may diagnosis fetus hypoxia or not, increase the fetus cord around neck antenatal diagnosis rate, and to guide obstetrics doctor to choice correct way of childbirth.