1100例巨大儿临床分析

Clinical analysis of the 1100 cases with macrosomia

目的探讨预测巨大儿的相关因素及分娩方式,减少母儿并发症。方法选取经过进行产前检查并分娩的巨大儿1 100例作为观察组(巨大儿组),选取同期分娩的正常体质量儿1 000例作为对照组(正常体质量儿组),进行分析研究。结果观察组孕妇宫高、腹围、胎儿双顶径、股骨长及胎儿腹围均明显高于对照组,按宫高+腹围+双顶径+股骨长+胎儿腹围≥192 cm预测巨大儿的可信度达90%以上。观察组剖宫产率明显高于对照组,观察组中经阴道分娩的母婴并发症明显高于剖宫产组。结论产妇分娩时的宫高、腹围、超声检测胎儿的腹围、双顶径、股骨长对产前预测巨大儿有价值;巨大儿的分娩方式以剖宫产相对安全。

Objective To find out the predict factors and delivery mode of fetal macrosomia.Methods In this study,we evaluated 1100 cases of birth macrosomia and 1000 cases of normal birth weight.Results The maternal uterus height,abdominal circumference and the fetal biparietal diameter,femoral bone diameter and abdomen circumference in observation group all were all significantly higher than those of control group.The rate of cesarean section in observation group was significantly higher than that in control group.Significantly elevated complications of mother and neonatus per vaginal delivery were found as compared with those of uterine-incision delivery in macrosomia group.Conclusion The maternal uterus height and abdominal circumference combination with fetal biparietal diameter and abdominal circumference and femur length have predictor value for fetal macrosomia.And cesarean section the great is a better delivery way for conceiving macrosomia.