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目的:分析单脐动脉的临床特点及妊娠结局,指导单脐动脉孕妇的孕期保健。方法:回顾分析2006年6月～2009年5月间,在郑州大学第三附属医院产科住院分娩的28例妊娠合并单脐动脉的诊断方法、分娩方式和妊娠结局。结果:27例病例B超诊断,产后确诊,1例产后检查脐带胎盘时诊断。28例病例中,合并羊水量异常7例,合并FGR8例,合并胎心监护异常9例;足月分娩17例,剖宫产22例,剖宫产指征以胎儿监护异常为主。新生儿存活25例,死亡3例。结论:产前发现胎儿单脐动脉,需多角度动态观察,在排除胎儿合并其他畸形或染色体异常时,可以考虑继续妊娠,妊娠能够到足月的单纯性单脐动脉,大部分妊娠结局良好,但分娩方式以剖宫产为首选。
Objective: To analyze the clinical features of single umbilical artery and the outcome of pregnancy to guide the pregnant women during single umbilical artery health care. Methods: The diagnostic methods, mode of delivery and pregnancy outcome of 28 pregnant women with single umbilical artery who were hospitalized in obstetrics department of the Third Affiliated Hospital of Zhengzhou University from June 2006 to May 2009 were retrospectively analyzed. Results: 27 cases of B ultrasound diagnosis, postpartum diagnosis, 1 case of postpartum examination of umbilical cord placenta diagnosis. Among the 28 cases, there were 7 cases with abnormal amniotic fluid volume, 8 cases with FGR and 9 cases with abnormal fetal protection. Full-term delivery was performed in 17 cases and cesarean section in 22 cases. Cesarean section indications were mainly fetus monitoring abnormalities. Neonatal survival in 25 cases, 3 cases of death. Conclusions: Single prenatal fetal umbilical artery, multi-angle dynamic observation, in the exclusion of fetus with other malformations or chromosomal abnormalities, you can consider continuing pregnancy, pregnancy to full-term simple single umbilical artery, most of the pregnancy outcome is good, However, cesarean section delivery method is preferred.