185例胎儿丢失原因回顾性分析

Retrospective analysis of 185 cases of fetal loss

目的分析胎儿丢失的原因、相关因素,寻找干预措施,降低胎儿的病死率。方法回顾性分析1998年9月—2017年12月间空军特色医学中心(原空军总医院)妇产科185例13~41周丢失胎儿产妇的临床资料及丢失胎儿的尸检病例,并随机抽取200例正常分娩新生儿的孕妇做为对照组,对胎儿丢失主要原因进行分类及分析。结果20年间胎儿丢失例数共计为185例,主要原因以胎儿、脐带、羊水因素为主要丢失因素;胎儿丢失以治疗性引产、死胎为主要丢失方式。结论胎儿丢失原因复杂,以胎儿、脐带、羊水因素为主要丢失原因;对丢失胎儿尸检及其附属结构的病理性分析可以更好的明确胎儿丢失的原因。

Objective To fifind the main causes of fetal loss and seek interventions. Methods The clinical data of 185 puerperants with fetal loss at 13-41 weeks of pregnancy and the autopsy reports between September 1998 and December 2017 were retrospectively analyzed. Another 200 puerperants with normal delivery were randomly selected and served as the controls. Results There were 185 cases of fetal loss in the hospital over the two decades, mainly due to the fetus umbilical cord and amniotic flfluid.The fetal loss was mainly caused by therapeutic induced labor and stillbirths. Conclusion The causes of fetal loss are complicated, mainly due to the fetus, umbilical cord and amniotic flfluid. Autopsy of the lost fetus and pathologic analysis of its accessory tissues can better clarify the cause of fetal loss.