临产床旁彩超检查对分娩方式选择及妊娠安危监测的价值分析

何季珊

【摘要】 目的：探讨床旁彩超检查在临产前对分娩方式选择及妊娠安危监测的应用价值。方法：回顾性分析2015年12月-2016年12月本院住院常规进行床旁彩超检查临产孕妇2 200例的临床资料。检查胎儿个数、胎方位、胎儿发育情况，进行胎儿生理测量、观察羊水深度及指数、胎盘位置厚度及成熟度、脐带入口、脐动脉血流情况。结果：2 200例孕妇中，超声诊断头位2 002例（91.0%）、臀位176例（8.0%）、横位22例（1.0%）；脐带绕颈823例（37.4%）；前置胎盤及低置胎盘34例（1.5%）；胎盘早剥4例（0.2%）；羊水过多344例（15.6%），过少52例（2.4%），其中伴胎儿发育异常4例；双胎妊娠15例（0.7%）、死胎4例（0.2%）、单脐动脉4例（0.2%）；脐带脱垂1例（0.05%）；胎心率异常及脐血流异常26例（1.2%）。结论：产前床旁彩超检查便捷安全、可避免转运检查过程中病情变化产生意外，不仅给临床带来很大的方便，而且提供了及时有效的诊疗依据，对帮助临床选择分娩方式、监测妊娠安危、降低孕产风险起着重要作用。

【关键词】 临产； 床旁彩超； 分娩方式； 妊娠安危

Value of Bedside Color Doppler Ultrasonic Examinations for Choice of Delivery Mode and Monitoring of Pregnancy Safety/HE Jishan.//Medical Innovation of China，2018，15（08）：108-112

【Abstract】 Objective：To explore the application value of bedside color Doppler ultrasound examination for the choice of delivery mode and monitoring of pregnancy safety before delivery.Method：The clinical data of 2 200 pregnant women who were hospitalized by bedside color Doppler ultrasound examination in our hospital from December 2015 to December 2016 were retrospectively analyzed.The number of fetuses，fetal orientation and fetal development were examined，fetal physiological measurements，amniotic fluid depth and index，placenta location，thickness and maturity，umbilical cord inlet and umbilical artery blood flow were observed.Result：In 2 200 pregnant women，the ultrasound diagnosis 2 002 cases（91.0%） of head position，176 cases（8.0%） of breech position，22 cases（1.0%） of transverse position，823 cases （37.4%）of cord around neck，34 cases（1.5%） of placenta previa and low-lying placenta，4 cases（0.2%） of placental abruption，344 cases（15.6%） of polyhydramnios，52 cases（2.4%） of oligohydramnios，of which 4 cases were accompanied by abnormal fetal development，15 cases（0.7%） of twin pregnancy，4 cases（0.2%） of stillbirth，4 cases（0.2%） of single umbilical artery，1 case（0.05%） of prolapse of umbilical cord，abnormal fetal heart rate and abnormal umbilical blood flow in 26 cases（1.2%）.Conclusion：Prenatal bedside color Doppler ultrasound examination is convenient and safe，can avoid accidents during transit inspection，not only brings great convenience to clinic，but also provides a timely and effective basis for diagnosis and treatment，to help the clinical choice of delivery and pregnancy safety and reduce the risk of pregnancy plays an important role.

【Key words】 Prenatal； Bedside color Doppler ultrasonic examinations； Delivery mode； Pregnancy safety

First-authors address：The Maternal and Child Health Hospital of Duanzhou District，Zhaoqing 526040，China