[摘要] 目的 探讨脐带脱垂与脐带先露的高危因素、诊断方法、临床处理及围生儿预后。方法 回顾性分析1998年3月～2008年9月23例脐带脱垂和脐带先露病例。结果 8例脐带脱垂,立即行剖宫产者3例,获活婴3例;臀助产者3例,获活婴2例;死胎及死产各一例经阴道分娩。15例脐带先露,均行剖宫产术,获活婴15例。结论 注意脐带脱垂的高危因素,及早发现,及时处理,可减少围生儿死亡率。

    [关键词] 脐带脱垂;脐带先露;高危因素;分娩方式;围生儿

    [中图分类号] R714.56 [中图分类号] A[文章编号] 1673-9701(2009)24-115-02

    Clinical Analysis of 23 Cases of Prolapse or Presentation of Umbilical Cord

    YU Ying

    Department of Obstetrics and Gynecology,The First People's Hospital of Changshu,Jiangsu 215500,China

    [Abstract] Objective Discusses prolapse or presentation of umbilical cord the high-risk factor,the diagnosis method,clinical processing and perinatal prognosis.Methods 23 cases of prolapse or presentation of umbilical cord from March 1998 to September 2008 were analyzed retrospectivel.Results 8 example prolapse of umbilical cord,cesarean section 3 examples immediately,attains the live infant 3 examples; The vaginal delivery 3 examples,attain the live infant 2 examples; fetal death and stillbirth each example after vaginal delivery. 15 example presentation of umbilical cord,caesarean section 15 examples,attains the live infant 15 examples.Conclusion Pay attention to high-risk factor which prolapse of umbilical cord,discovered early,prompt processing,may reduce perinatal mortality. ......