隐性脐带脱垂和显性脐带脱垂32例临床分析

Clinical Analysis of 3 2 Cases of Recessive and Dominant Umbilical Cord Prolapse

【目的】探讨隐性脐带脱垂和显性脐带脱垂的诊断及对围生儿结局的影响。【方法】分析本院2010年1月至2012年6月32例脐带脱垂患者的诊断及治疗，比较隐性脐带脱垂组与显性脐带脱垂组的剖宫产率及围生儿Apgar评分，观察脐带脱垂发现方式与胎儿预后的关系。【结果】两组患儿均顺利生产，无一例死亡。隐性脐带脱垂组的剖宫产率及新生儿1 min Apgar评分、5 min Apgar评分等级均高于显性脐带脱垂组（P ＜0．05），脐带脱垂发现方式中，以通过产前彩超检查发现组新生儿 Apgar评分较高，但与其他方式无统计学意义（P＞0．05）。【结论】产前超声检查及胎心监测配合阴道检查有助于脐带脱垂的早期诊断，特别是对于隐性脐带脱垂患者，早期干预可显著改善围生儿的预后。

[Objective]To explore the diagnosis of recessive and dominant umbilical cord prolapse and its effect on the outcome of perinatal children.[Methods]The diagnosis and treatment of 32 cases of umbilical cord prolapse in our hospital from Jan.2010 to June 2012 were analyzed.The cesarean rate and Apgar score of perinatal children between re-cessive group and dominant group was compared.The relationship between the ways of the diagnosis of umbilical cord prolapse and the prognosis of fetuses was observed.[Results]The pediatric patients in two groups were labored success-fully,and no one died.The cesarean rate,neonatal 1min and 5min Apgar scores in recessive group were higher than those in dominant group（P0.05）.[Conclusion]Prenatal ultrasonography,fetal heart rate monitoring combined with vaginal examination are helpful for the early diagnosis of umbilical cord prolapse,especially for patients with recessive umbilical cord prolapse.Early in-tervention can significantly improve the prognosis of perinatal children.