摘要
目的:探讨超声引导下脐血管穿刺的安全性及成功率。方法:选择164例中晚期妊娠孕妇,孕周19～34周,对其行超声引导下胎儿脐血管穿刺术,并观察记录母儿并发症情况。结果:穿刺成功154例,失败10例,总穿刺成功率93.9%,其中孕19～21周穿刺34例,成功25例,成功率73.5%;22～24周穿刺79例,成功78例,成功率98.7%;25～34周穿刺51例,成功51例,成功率100.0%。并发症:胎盘穿刺点出血49例,游离脐带穿刺点出血20例,胎心心动过缓5例,无胎膜早破、早产、宫内感染等并发症发生,无1例胎儿丢失。结论:严格掌握手术指征,规范操作,可提高超声引导下脐血管穿刺术的安全性,大大降低母儿并发症的发生率。
Objective： To assess the safety and the risk of puncturing the umbilical cord under the guidance of ultrasound in prenatal diagnosis.. Methods： Umbilical cords were punctured under ultrasound m 164 pregnant women for prenatal diagnosis.. Results： Gestational age was ranged from 19 to 34 weeks, 154 out of 164 procedures, pure fetal blood was obtained, the rate of the leakage of the blood from placentas and umbilical cords was 77. 8% and 12% respectively and fetal bradycardia was 3%. The complications including premature rupture of the membranes, premature labor and intrauterine infection did not occur during or after this procedure, no cases of which any kinds of injury to the placenta or umbilical cord were observed.. Conclusion： Puncturing umbilical cord under ultrasonography is a safe and reliable method to apply in prenatal diagnosis.
出处
《中国妇幼保健》
CAS
北大核心
2006年第16期2307-2309,共3页
Maternal and Child Health Care of China
关键词
脐血管穿刺
产前诊断
超声
Umbilical blood
Prenatal diagnosis
Ultrasonography
