170例巨大胎儿临床分析

Analysis of 170 Fetal Macrosomia

目的:探讨巨大胎儿的产前诊断及分娩方式,降低母儿并发症。方法:回顾分析170例巨大胎儿的临床资料,并抽取同期分娩正常体重儿的足月孕妇作为对照组。结果:胎儿BPD、FL,产妇宫高、腹围等是诊断巨大胎儿的相关因素。超声下的BPD+FL≥165mm或宫高+腹围≥140cm可作为产前诊断巨大胎儿的一项可靠指标,巨大胎儿的分娩方式以剖宫产相对安全。结论:加强孕期监护,预防巨大胎儿的发生,选择正确的分娩时机与分娩方式,可降低母婴并发症,保障母婴安全。

Objective:To investigate the prenatal diagnosis and delivery modd for fetal ncrcomia in order to decrease the complications in both mothers and neonates. Method:To review analyze the clinic data of 170 bigness fetus and random sample the pregnant woman who delivered mature and natural fetus,which was the contrast group. Result:The related factors of diagnosing large embrvo included the BPD、FL of fetal and palace high and all round abdomen and so on. BPD + FL≥165 mm or palace high+all round abdomen ≥140 cm under ultrasonic could be a reliable index of diagnosing whether they were large embryos.For a large embryo,the comparatively safe way of delivery was dissecting womb.Conclusion:To strengthen the antenatal care during the pregnancy and decreasing the incidence of fetal macrosomia,to choose the best timing of labour and the best delivery pattem,all of tnese can decrease the complications of maternal and fetus and ensure their safety.