摘要
目的:分析在对脐带绕颈诱发胎儿宫内缺氧和围产结局的临床诊断预测中应用彩色多普勒血流显像技术(CDFI)的临床价值。方法:抽取2018年1月~2019年11月本院的110例住院分娩产妇,均进行CDFI诊断,与分娩结果进行对比,统计胎儿脐带绕颈的预测成功率并统计围产结局。结果:产前CDFI检查中对于胎儿脐带绕颈的总体诊断符合率为98.73%,绕颈1周的诊断符合率为100.00%、绕颈2周为96.88%、绕颈≥3周为100.00%,与分娩结局相比P>0.05;79例胎儿脐带绕颈中胎儿宫内窘迫19例(24.05%),新生儿窒息16例(20.25%);未发生脐带绕颈者胎儿宫内窘迫3例(9.67%),新生儿窒息1例(3.23%),且P<0.05。结论:脐带绕颈与围产结局密切相关,通过应用CDFI技术可以有效提升脐带绕颈胎儿宫内缺氧的预测价值。
Objective:To analyze the clinical value of color doppler flow imaging(CDFI)in the diagnosis and prediction of intrauterine hypoxia and perinatal outcome induced by umbilical cord around the neck.Methods:110 hospitalized parturients in our hospital from January 2018 to November 2019 were selected for CDFI diagnosis,and compared with the delivery results.The predicted success rate of fetal umbilical cord around the neck and the outcome of perinatal delivery were calculated.Results:The overall diagnostic coincidence rate of umbilical cord around the neck in the prenatal CDFI examination was 98.73%,the diagnostic coincidence rate of umbilical cord around the neck was 100.00%for 1 week,96.88%for 2 weeks,and 100.00%for≥3 weeks.There were 79 cases of fetal umbilical cord around the neck,19 cases(24.05%)of fetal distress,and 16 cases(20.25%)of neonatal asphyxia.There were 3 cases(9.67%)of fetal distress and 1 case(3.23%)of neonatal asphyxia without umbilical cord around the neck(P<0.05).Conclusion:Umbilical cord around the neck is closely related to perinatal outcome.CDFI technique can effectively improve the predictive value of intrauterine hypoxia in fetuses with umbilical cord around the neck.
作者
韩晓光
HAN Xiao-guang(Maternal and Child Health Care Center,Family Planning Service Center,Boshan District,Zibo City,Shandong Province,Shandong Zibo 255200)
出处
《中国医疗器械信息》
2020年第13期88-89,共2页
China Medical Device Information
关键词
脐带绕颈
胎儿宫内缺氧
彩色多普勒血流显像
诊断
围产结局
umbilical cord around the neck
intrauterine hypoxia
color doppler flow imaging
diagnosis
among
