脐带帆状附着19例临床分析

Clinical analysis of velamentous cord insertion

目的：探讨脐带帆状附着的临床特点,提高对本病的认识。方法：将我院2013年5月~2014年12月收治的19例脐带帆状附着病例作为A组,随机抽取同一时间段脐带附着正常的30例作为B组。对两组胎儿电子监护、胎儿窘迫和围产儿结局进行比较分析。结果：A组临产后胎儿电子监护表现为晚期减速或复发性变异减速,胎儿窘迫发生率明显高于B组,两组围生儿结局无差异。结论：脐带帆状附着临床表现不典型,临产后易发生胎儿窘迫,持续胎儿电子监护有利于及时发现及时处理,可降低围生儿病死率。

Objective ：To understand the clinical properties of velamentous cord insertion（VCI） in order to improve recognition on this entity. Methods： Nineteen patients of VCI,admitted to our department from May 2013 through December 2014 ,were included as study subjects（ group A） ,and another 30 women with normal condition of pregnancy were recruited as controls（ group B）. The two groups were compared pertinent to findings of electronic fetal mo- nitoring, incidence of fetal distress and perinatal outcomes. Results ： Electronic fetal monitoring presented late deceleration or recurrent variable deceleration in the study group that had significant higher incidence of fetal distress. The two groups were not significant in perinatal outcomes. Conclusion ： VCI pres- ents asymptomatically in clinic, and tends to lead to fetal distress in labour. Continuous electronic fetal monitoring may be conductive to early detection and timely management of VCI as well as reduction of perlnatal mortality.