论文部分内容阅读
目的探讨彩色多普勒超声诊断胎儿脐带绕颈的价值。方法选取2014年11月—2015年11月期郏县人民医院收治的产妇200例,均经彩色多普勒超声检查诊断为胎儿脐带绕颈,以最终分娩结果为判定依据。计算彩色多普勒超声检查诊断脐带绕颈的符合率,观察脐带绕颈与分娩方式及胎儿预后的关系。结果彩色多普勒超声检查诊断脐带绕颈的符合率为91.00%。胎儿脐带绕颈的羊水污染、Apgar评分<7、脐动脉S/D>3及剖宫产率高于脐带未绕颈,差异有统计学意义(P<0.05),胎儿脐带绕颈S值<0.085发生率与胎儿脐带未绕颈比较,差异无统计学意义(P>0.05)。结论彩色多普勒超声检查可对脐带绕颈、缠绕程度进行准确的诊断。
Objective To investigate the value of color Doppler ultrasound in the diagnosis of fetal umbilical cord around the neck. Methods Totally 200 maternal women were admitted to Yixian People’s Hospital from November 2014 to November 2015. All of them were diagnosed as fetal umbilical cord around the neck by color Doppler ultrasonography, and the final delivery result was taken as the criterion. Computed color Doppler ultrasound examination of the umbilical cord around the neck coincidence rate to observe the umbilical cord around the neck and the delivery mode and fetal prognosis. Results The coincidence rate of color Doppler ultrasonography diagnosis of umbilical cord around the neck was 91.00%. Fetal umbilical cord amniotic fluid around the neck, Apgar score <7, umbilical artery S / D> 3 and cesarean section rate higher than the umbilical cord around the neck, the difference was statistically significant (P <0.05), fetal umbilical cord around the neck S value < There was no significant difference in the incidence of 0.085 between the fetus and umbilical cord (P> 0.05). Conclusion Color Doppler ultrasonography can accurately diagnose the degree of umbilical cord wound around the neck.