232例脐带异常对围产儿的影响

232 Cases of Umbilical Cord Abnormality on lnfluence of Prenatal Fetal

目的 :探讨脐带异常的因素及对围产儿的影响。方法 :对2001年1月至12月住院分娩的746例中232例脐带异常者进行回顾性分析。结果 :脐带异常的发生率为31.10%,其中脐带缠绕占77.29 %,脐带扭转占12.50%,脐带过长占3.88%,脐带过短占3.02%,脐带水肿占1.72%,脐带先露及脐带脱垂各占0.86%,帆状脐带占0.43%。脐带异常组胎儿宫内窘迫、新生儿窒息 ,死胎、死产及新生儿死亡率明显高于脐带正常组。胎心监护中跳跃型基线变异和变异减速型符合率较高 ,分别为91.4%和94.2%。结论 :脐带异常对围产儿存在严重危害 。

Objective: Toexplore the causes and influence of umbilical cord abnormality on prenatal fetal .Methods:232 cases of umbilical cord abnormality in736 cases in 2001 were analyzed retrospectively.Results:The incidence of umbilical cord abnormality was 31.1%.Of them,umbilical cord winding was 77.29%.Umbilical cord volvulate was 12.5%.3.88% of the umbilical cords wer too long and 3.02%of the umbilical cords were too short.Umbilical cord edema was 1.72%.Both umbilical cord presentation and prolapsed were 0.86%.Veliform umbilical cord was0.43%.Fetal with umbilical cord abnormality tahd higher incidences of intrauterine distress,newborn asphyxia,dead-birth,stillbirth and mortality of newborn than those with umbiluical cord normality.Variation of Jumping basic line had high coincidence with variation deceleration in monitoring fetal heart,91.4%and94.2%reapectivesy.Conclusions:Umbilical cord abnormality hurts badly prenatal fetal.Monitoring in ante partum and giving birth is very important.