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1997年1月~1998年10月接待分娩总数1320例。发生脐带扭转87例,由于脐带扭转所致胎儿宫内窘迫共34例,占总的胎儿宫内窘迫23.1%。脐带扭转周数>20周者胎儿宫内窘迫发生率明显高于脐带扭转周数12-20周者,导致前者剖宫产率明显增高。目前,临床尚无特异性诊断方法,对于无原因的胎儿宫内窘迫病人要考虑脐带扭转可能。
January 1997 ~ October 1998 received a total of 1320 cases of childbirth. There were 87 cases of umbilical cord twisting, 34 cases of fetal distress due to umbilical cord twisting, accounting for 23.1% of total fetal distress. Umbilical cord twisting weeks> 20 weeks, the incidence of fetal distress was significantly higher than the umbilical cord twisting weeks 12-20 weeks, leading to the former significantly increased cesarean section rate. At present, there is no specific clinical diagnosis, for reasons of fetal distress in patients with umbilical cord may be considered to reverse.