羊膜腔灌注术治疗未足月妊娠羊水过少的疗效观察

发布时间：2018-04-17 05:14

本文选题：羊膜腔灌注术 + 羊水过少　；参考：《新医学》2016年12期

【摘要】：目的探讨羊膜腔灌注术在治疗未足月妊娠羊水过少的临床疗效和安全性。方法选择未足月妊娠诊断羊水过少的孕妇98例,以其中行羊膜腔灌注术治疗的48例为观察组、行静脉补液治疗的50例为对照组,比较2组的妊娠结局、羊水指数变化及孕龄延长时间以及新生儿结局。结果观察组经阴道顺产比例、治疗结束时和治疗后1周羊水指数、孕龄延长时间、孕至35周以上分娩比例及新生儿体质量均较对照组增加,新生儿转入ICU比例较对照组低(P均0.05);2组胎儿畸形检出率、活产儿比例以及胎膜早破、羊水混浊、新生儿窒息比例比较差异均无统计学意义(P均0.05)。结论羊膜腔灌注术可有效增加未足月妊娠羊水过少孕妇的羊水指数、延长孕龄,安全性高。
[Abstract]:Objective to evaluate the efficacy and safety of amniotic cavity perfusion in the treatment of oligohydramnios during term pregnancy.Methods 98 pregnant women with oligohydramnios diagnosed by non-term pregnancy were selected, 48 of them were treated with amniotic fluid perfusion and 50 were treated with intravenous fluid replacement. The pregnancy outcomes of the two groups were compared.Changes in amniotic fluid index, prolonged gestational age and neonatal outcome.Results the ratio of vaginal delivery, the amniotic fluid index at the end of treatment and one week after treatment, the prolonged gestational age, the proportion of delivery over 35 weeks of pregnancy and the body weight of newborn increased in the observation group as compared with those in the control group.There was no significant difference in the rate of fetal malformation, the proportion of live infants, premature rupture of membranes, opacity of amniotic fluid and neonatal asphyxia in the two groups compared with the control group (P < 0.05).Conclusion amniotic fluid perfusion can effectively increase the amniotic fluid index of oligohydramnios pregnant women without term pregnancy and prolong the gestational age.
【作者单位】：粤北人民医院产科;

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