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目的 :研究脐带绕颈胎儿的临床发生率 ,脐带绕颈周数与胎儿宫内窘迫及新生儿窒息的发生率。方法 :对 1997年 1月～ 1999年 12月本院住院孕妇 2 40 6例进行回顾性分析。结果 :脐带绕颈 5 0 3例 (包括脐带绕肢体及过度扭曲 ) ,发生率为 2 1% ;脐带绕 1周 34 5例 ,2周 145例 ,3周 13例。结论 :脐带绕颈周数愈多愈紧 ,胎儿宫内窘迫及新生儿窒息的发生率愈高 ;羊水粪染程度愈重剖宫产及阴道手术产率愈高。
Objective: To study the clinical incidence of umbilical cord around the neck fetus, the number of umbilical cord around the neck and fetal distress and the incidence of neonatal asphyxia. Methods: A retrospective analysis was performed on 2 406 pregnant women hospitalized in our hospital from January 1997 to December 1999. Results: The number of umbilical cord around the neck was 503 cases (including umbilical cord around the limbs and excessive distortion), the incidence was 21%. There were 345 cases of umbilical cord wound around one week, 145 cases of two weeks and 13 cases of three weeks. Conclusion: The umbilical cord around the neck more and more the more tight, fetal distress and neonatal asphyxia the higher the incidence of amniotic fluid meconium staining heavier the higher the rate of cesarean section and vaginal surgery.