| 摘要: |
| 【】目的：探究超声孕早期筛查胎盘及脐带发育异常可行性。方法：选取在孕11-13﹢6周在我院进行颈后透明带检查并在我院进行分娩的孕妇400例作为观察对象,采用彩色多普勒仪器对脐带入口进行检查,其中超声医师根据超声结果判断脐带入口位置进行分组,其中脐带入口位于子宫下1/3段的为低入口组,而脐带入口位于子宫中上1/3的归为正常入口组。分别在孕中期进行再次超声确认是否存在前置胎盘、帆状胎盘、前置血管等胎盘、脐带异常等不良情况,同时对孕妇进行严密的随访工作至分娩结束,并于分娩后对胎盘和脐带的情况进行观察记录。结果：低入口组的围产期并发症中除了胎盘与正常入口组不存在统计学差异之外,其他相关并发症(脐带附着异常、前置胎盘、胎盘异常表现、胎盘早剥、脐带脱垂)均存在统计学差异(χ2分别为：12.132、13.256、7.251、6.789、7.894, P值均<0.05)；两组患者的分娩方式之间不存在统计学差异(P>0.05)；在新生儿并发症比较中低入口组的新生儿低Apgar评分和产时胎心异常与正常入口组存在显著的统计学差异(χ2分别为：9.786和6.751,P值均<0.05)；孕早期脐带低入口与脐带附着异常、前置胎盘、胎盘异常表现、胎盘早剥和脐带脱垂的相对危险度分别为：5.12、7.29、2.04、8.81与10.1, P值均<0.05；结论：孕早期的异常脐带入口超声筛查结果与脐带的发育结果具有相关性,同时在孕早期进行脐带入口超声筛查异常胎盘和脐带具有重要的意义,具有较好的可行性。 |
| 关键词: 超声检查 孕早期 异常脐带入口 可行性分析 |
| DOI： |
| 投稿时间：2018-06-09修订日期：2019-03-27 |
| 基金项目: |
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| Study on the clinical value of Ultrasound screening for early pregnancy for abnormal placenta inlet of umbilical cord.Wang Xiao-qian1,Zhong Jia-jie2,Sun Zhi-wei1 |
| Wang Xiao-qian |
| () |
| Abstract: |
| Objective:STo explore the feasibility of Ultrasound screening for early pregnancy for abnormal placenta inlet of umbilical cord.SMethods:S 400 cases of pregnant women and who underwent the examination of the posterior cervical translucency in our hospital at the 10-13 week of gestation and delivered in our hospital were selected as the observation object,and the entrance of the umbilical cord were examined by the Color Doppler instruments,which were grouped according to ultrasonic results in judging the location of umbilical cord entrance by the ultrasound doctor,which entrance to the umbilical cord is located in the lower 1/3 segment of the uterus were low entry group,while umbilical cord is located in the upper 1/3 of the uterus were normal entry group.Then,the Ultrasound confirmation again in the second trimester of pregnancy to confirm whether placenta, placenta previa, placenta previa, umbilical cord abnormalities and other adverse conditions exist,at the same time, the pregnant women were followed closely until the end of childbirth,and the condition of the placenta and umbilical cord after pregnancy and delivery were recorded and observed..SResults:SThere was no statistical difference in perinatal complications except for the placenta between the low inlet group and normal entry group,and other related complications (abnormal umbilical cord insertion, placenta previa, placental abnormality, placental abruption, umbilical cord prolapse) there were statistically significant differences(χ2were respectively: 12.132, 13.256, 7.251, 6.789, 7.894, P <0.05);SThere was no statistical difference in the mode of delivery between the two groups of patients (P>0.05);In the comparison of neonatal complications, the neonatal low neonatal Apgar score and intrapartum fetal heart abnormalities in the low entrance group were significantly different from those of the normal entrance group (χ2 were respectively 9.786 and 6.751, and P values were <0.05);The relative risk of premature umbilical cord, umbilical cord and umbilical cord adhesion, placenta previa and placental abnormalities, placental abruption and umbilical cord prolapse were respectively 5.12, 7.29, 2.04, 8.81 and 10.1,and the P values were <0.05;Conclusion:SThe results of ultrasound screening of umbilical cord entrance and development of umbilical cord in abnormality in early pregnancy have relevance,and it is important to screen the abnormal placenta and umbilical cord by screening the umbilical cord entrance at the early stage of pregnancy,thus it has good feasibility. |
| Key words: Sultrasonic examination early pregnancy abnormal umbilical cord entrance feasibility analysis |
