發(fā)布時(shí)間：2018-02-02 09:15

  本文關(guān)鍵詞： 臍動(dòng)脈 臍帶螺旋指數(shù) 胎兒 先天畸形 妊娠結(jié)局　出處：《重慶醫(yī)學(xué)》2015年17期 　論文類型：期刊論文

【摘要】：目的研究單臍動(dòng)脈(SUA)臍帶螺旋指數(shù)(UCI)與胎兒畸形及圍產(chǎn)結(jié)局的關(guān)系。方法回顧性分析重慶醫(yī)科大學(xué)附屬永川醫(yī)院2011年1月至2013年12月經(jīng)超聲診斷的73例SUA胎兒資料,產(chǎn)后計(jì)算UCI值,與病理學(xué)檢查結(jié)果對(duì)照分析。結(jié)果 SUA臍帶長(zhǎng)度正常胎兒產(chǎn)后平均UCI為(0.13±0.07)周/cm,螺旋稀少(UCI0.10)發(fā)生率46.58%(34/73),其中畸形發(fā)生率35.29%(12/34),人工引產(chǎn)率35.29%(12/34);螺旋正常(0.10UCI0.30)發(fā)生率34.25%(25/73),其中畸形發(fā)生率36.00%(9/25),人工引產(chǎn)率40.00%(10/25);螺旋密集(UCI0.30)發(fā)生率19.17%(14/73),其中畸形發(fā)生率(64.29%,9/14),人工引產(chǎn)率71.43%(10/14),胎兒畸形發(fā)生率及人工引產(chǎn)發(fā)病率在螺旋稀少組及螺旋正常組合并后與螺旋密集組比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 SUA臍帶異常螺旋密集的胎兒畸形發(fā)生率高,產(chǎn)前檢查時(shí)應(yīng)重視。
[Abstract]:Objective to study the spiral index (UCI) of umbilical cord in single umbilical artery (UAA). Methods 73 cases of SUA fetus diagnosed by ultrasound from January 2011 to 2013 in Yongchuan Hospital affiliated to Chongqing Medical University were analyzed retrospectively. Results the average postpartum UCI of the fetus with normal umbilical cord length of SUA was 0.13 鹵0.07 weeks and the average UCI was 0.13 鹵0.07 weeks. The incidence of UCI 0.10) was 46.58% or 34 / 73, in which the incidence of malformation was 35.29%, and the induced labor rate was 35.29% (12 / 34). The incidence of helix normal is 0.10 UCI 0.30) the incidence is 34.25% or 25%, in which the incidence of malformation is 36.00% or 9 / 25). The rate of induced labor was 40.0010 / 25; The incidence rate of spiral dense UCI 0.30) was 19.17% 14 / 73, in which the incidence of malformation was 64.29 / 14, and the induced labor rate was 71.43% / 10 / 14). The incidence of fetal malformation and induced labor were compared between the spiral rare group and the spiral normal group after combined with the spiral dense group. Conclusion the incidence of fetal malformation with abnormal spiral density of SUA umbilical cord is high, so attention should be paid to prenatal examination.
【作者單位】： 重慶醫(yī)科大學(xué)附屬永川醫(yī)院超聲科;重慶醫(yī)科大學(xué)附屬永川醫(yī)院婦產(chǎn)科;重慶醫(yī)科大學(xué)附屬永川醫(yī)院病案室;
【基金】：重慶市衛(wèi)生局面上項(xiàng)目(2012-2-175) 院級(jí)科研基金資助項(xiàng)目(YJQN2011036)
【分類號(hào)】：R445.1;R714.5
【正文快照】： 正常胎兒臍帶全長(zhǎng)約30~70cm,內(nèi)有2條臍動(dòng)脈和1條臍靜脈,臍動(dòng)脈較臍靜脈長(zhǎng),圍繞在臍靜脈周圍形成約6~11周生理螺旋,可保護(hù)臍靜脈抵御壓迫和牽拉的刺激。單臍動(dòng)脈(single umbilical artery,SUA)是指臍帶內(nèi)只有1條臍動(dòng)脈和1條臍靜脈,常合并多種胎兒先天性結(jié)構(gòu)畸形。臍帶螺旋指數(shù)(

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 周海慧;硬膜外阻滯用于分娩鎮(zhèn)痛療效分析[J];海南醫(yī)學(xué);2004年10期

2 劉s，

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