目的分析帆状胎盘脐血管前置的诊断、处理及围产儿结局。方法回顾性分析确诊帆状胎盘脐血管前置4例患者的临床资料。结果 4例中,经产妇3例,合并前置胎盘3例。产前B超诊断帆状胎盘脐血管前置2例,产时诊断1例,产后诊断1例。围产儿死亡1例,早产2例。结论帆状胎盘临床少见,需要提高帆状胎盘脐血管前置产前诊断率,适时剖宫产,改善围产儿结局。 Objective To analyze the diagnosis, treatment and perinatal outcome of umbilical cord blood vessels of sail-shaped placenta. Methods The clinical data of 4 cases of pre-umbilical cord blood vessels confirmed by saphenous placenta were retrospectively analyzed. Results In 4 cases, 3 were maternal and 3 were placenta previa. Prenatal B ultrasound diagnosis of umbilical cord blood vessels sailing two cases of prenatal diagnosis of one case, postpartum diagnosis in 1 case. Perinatal death in 1 case, 2 cases of preterm birth. Conclusions Sail placenta is rare and needs prenatal diagnosis of umbilical blood vessels in sail-like placenta. Cesarean section should be timely and the perinatal outcome should be improved.