摘要
目的分析探讨在产科急诊风险评估中进行脐带、胎盘产前超声诊断的价值.方法从2017年12月至2018年12月我院收治的脐带、胎盘超声异常的孕妇中,选取43例纳入研究组,并选择同期来我院产检的43例健康孕妇,并将之设为对照组.对比2组胎儿的超声检查情况和分娩的相关指标.结果观察组的血管阻力指数(RI)、脐动脉血流收缩期的最大流速与血流舒张末期的最小流速的比值(S/D)值和对照组相比,差异具有统计学意义(P<0.05);观察组在羊水污染、剖腹产、新生儿Apgar评分、产程时间以及住院时间方面,均和对照组有明显差异,且具有统计学意义(P<0.05).结论通过产前脐带、胎盘超声检查,可有效诊断胎儿的异常情况,从而制定针对性的治疗方案,减少分娩风险,确保母婴安全.
Objective To analyze the value of prenatal ultrasound diagnosis of umbilical cord and placenta in emergency obstetric risk assessment. Methods From December 2017 to December 2018, 43 pregnant women with abnormal ultrasonography of umbilical cord and placenta were enrolled in the study group, and 43 healthy pregnant women in our hospital during the same period were selected as the control group. The fetal ultrasonographic examination and related indicators of delivery were compared between the two groups. Results The RI, S/D values of the observation group were significantly different from those of the control group(P<0.05).There were significant differences between the observation group and the control group in amniotic fluid pollution,caesarean section,neonatal Apgar score,duration of labor and hospital stay(P<0.05). Conclusion Ultrasound examination of umbilical cord and placenta before delivery can effectively diagnose fetal abnormalities, so as to formulate targeted treatment programs, reduce the risk of childbirth, and ensure the safety of mothers and infants.
作者
王冠嘉
Wang Guanjia(Department of Ultrasound, Zhengzhou Maternal and Child Health Hospital,Henan 450003,China)
出处
《实用医学影像杂志》
2019年第4期363-365,共3页
Journal of Practical Medical Imaging
关键词
产科风险评估
超声检查
产前
胎盘
脐带
Obstetric risk assessment
Ultrasonography, prenatal
Placenta
Umbilical
