显性脐带脱垂14例临床分析

Clinical analysis of 14 cases of dominant prolapse of umbilical cord

目的探讨脐带脱垂的高危因素、处理方法、围生儿预后和预防措施。方法对2004年1月1日—2013年12月31日间我院发生的14例显性脐带脱垂病例进行回顾性分析。结果 13例显性脐带脱垂剖宫产终止妊娠,围生儿均存活,结局良好;1例行臀牵引围生儿死亡。结论脐带脱垂的主要高危因素有:胎位不正、头盆不称等,围生儿的预后与脐带脱垂时间长短、脐带受压的程度和分娩方式密切相关,及早诊断、正确处理对母儿预后有重要意义。

Objective To investigate the high risk factom, treatment methods, perinatal prognosis and prevention measures of umbilical cord prolapse. Methods The clinical data of 14 cases of dominant prolapse of umbilical cord treated in hospital from 2003 January to 2012 December were. analyzed retrospectively. Results 13 of the total accepted uterine-incision delivery to terminate, pregnancy, perinatal infants survived well. 1 case accepted hip traction delivery, perinatal infant died. Conclusion High risk factors of prolapse of umbilical cord includes： malposition, cephalopelvic disproportion, etc. Perinatal prognosis is closely related to the prolapse time of umbilical cord, the degree of cord compression, and delivery mode. Early diagnosis and correct treatment is the key of maternal and neonatal prognosis.