胎儿脐带缠绕253例分析

Analysis of Cord Entanglement in 253 Cases

目的 探讨胎儿脐带缠绕的临床意义及处理。方法 分析 2 5 3例有脐带缠绕的孕妇的脐带长度、剖宫产率、脐动脉血流S/D的值及对围产儿的影响 ,并与 2 6 9例无脐带缠绕者作比较。结果 2 5 3例脐带缠绕组中脐带过长者明显高于无脐带缠绕组 (P <0 .0 1)。因脐带缠绕组中脐动脉血流S/D值≥ 3.0的百分率、胎儿宫内窘迫的发生率及新生儿窒息率明显高于对照组 (P <0 .0 1) ,故临床剖宫产率也高于对照组。结论 脐带缠绕可对围产儿造成不良影响 ,临床应提高孕期监测、产程监护 ,从而减少对围产儿的影响 。

Objective To probe into the clinical meanings and treatent about fetus cord entanglement .Methods 253 pregnant women with fetal cord entanglement are analysed on the length of cord,rate of cesarean section,date of umbilicalartery bloodstream S/D ≥ 3.0 and influence on perinatal fetus, and they are compared with 269 pregnant women with no fetal cord entanglement.Results Long cord is greater in 253 pregnant women with fetal cord entanglement than in those with no fetal cord entanglement ( P < 0.01), because being compared with normal group, the percentages of umbilical artery bloodstream S/D ≥3.0 and chances of fetal distress or neonatal asphyxia are increased significantly in group with fetal cord entanglement , the rates of cesarean section are higher too.Conclusion Since cord entanglement will perform a bad influence over perinatal fetus, antenatal care and parturition monitoring should be improved so that the bad influnce would be reduced and unnecessary cesarean would be lowered.