摘要
目的:探讨胎儿脐带绕颈的超声诊断价值。方法:选取临床2010年以来超声诊断胎儿脐带绕颈的临床资料进行分析。结果:超声诊断脐带绕颈80例,经临床分娩确诊76例,准确率为96%。胎儿颈部附近可发现脐带走向与胎儿颈部长轴交叉。如脐带缠绕较紧,在纵切声像中胎儿颈项皮肤可呈现脐带的压痕,或呈"U"形(绕颈1周),或呈"W"状(绕颈2周)。结论:超声检查发现胎儿脐带绕颈,一般说不是立即剖宫产的指征,应严密观察和监控,一旦发现胎儿宫内窘迫,及时临床处理。
Objective： To explore the value of ultrasound in diagnosis of umbilical cord around the neck. Methods： The clinical data since 2010 the clinical ultrasound diagnosis of fetal umbilical cord around the neck were analyzed. Results： The ultrasonic diagnosis of umbilical cord around the neck in 80 cases, the clinical delivery confirmed 76 cases, the accurate rate was 96%. The fetal neck could be found near the umbilical cord and the trend of the fetal neck long axis cross. If the umbilical cord was tight, in the slit image of fetal nuchal skin could appear the umbilical cord of the indentation, or a ＂ U ＂ shape （around the neck for 1 weeks）, or a ＂ W ＂ shape （around the neck for 2 weeks）. Conclusion： Ultrasound examination of fetal umbilical cord around the neck, generally not immediately the indication of cesarean section, we should observe and monitor, once discover fetal distress, timely clinical treatment.
出处
《中国伤残医学》
2013年第4期62-63,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
胎儿脐带绕颈
超声诊断
多普勒超声
Fetal umbilical cord around neck
Ultrasonography
Doppler ultrasound
