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目的评价B超引导下脐带及羊膜腔穿刺术的安全性和潜在的风险,为进一步规范操作提供理论依据。方法回顾本院2008年1月～2009年1月份,在本院进行产前诊断病例总1015例,所有病例进行电话随访至分娩后。对是否经过胎盘穿刺以及不同穿刺次数与妊娠结局之间的关系进行比较。结果所有病例中,57例因诊断为胎儿异常行引产术,18例失访,剩下940病例中,非引产胎儿自然流失共4例(0.43%),其中1例为经过胎盘且穿刺2次以上者(3.03%),另3例为未经胎盘穿刺者(0.48%)。结论经过胎盘穿刺时,增加穿刺次数可能会增加胎儿不良结局的发生。
Objective To evaluate the safety and potential risks of B-guided umbilical cord and amniocentesis, and provide a theoretical basis for further standardizing the operation. Methods From January 2008 to January 2009 in our hospital, there were 1015 cases of prenatal diagnosis in our hospital. All patients were followed up by phone to delivery. A comparison was made as to whether placental puncture has been performed and the number of different punctures versus pregnancy outcome. Results In all the cases, 57 cases were diagnosed as fetus abnormality and 18 cases were lost. Of the remaining 940 cases, 4 cases (0.43%) of natural loss of non-induced fetus were found, of which 1 was placenta puncture and puncture 2 times (3.03%) and the other 3 patients without placenta puncture (0.48%). Conclusion After placental puncture, increasing the number of punctures may increase the incidence of fetal adverse outcomes.