46 cases of umbilical artery S - D of unusual clinical.docVIP

 PAGE \* MERGEFORMAT 7 46 cases of umbilical artery S / D of unusual clinical [Keywords:] umbilical artery S / D Clinical analysis of anomalies Is the fetal umbilical artery - the main blood vessels placental circulation, fetal umbilical artery flow velocity and resistance testing is reflected in the fetus - an important placental vascular resistance index, umbilical blood flow peak systolic and diastolic peak ratio (S / D, systolic / diastolic ratio), is the most commonly used clinical indicators, due to the increase with the number of weeks of pregnancy, placental vascular resistance decreased, increased end-diastolic flow velocity, S / D ratio decreased, the use of Doppler ultrasound for fetal placental blood monitoring, is conducive to early detection of fetal hypoxia, and promptly disposed of properly and will help protect the safety of perinatal children. Subjects and methods 1. Object: 1 December 2007, giving birth in hospital aged 22 to 30 years old, 30 to 40 weeks gestation primiparae 230 cases, of which there are no high risk factors of 147 cases, 83 cases with high-risk factors, 47 cases in which the umbilical cord factors, including the umbilical cord around neck in 41 cases, 6 cases of umbilical cord spin; pregnancy complications in 11 patients, including 5 cases of gestational hypertension, gestational diabetes mellitus in 3 cases, intrahepatic cholestasis of pregnancy (intrahepatic Cholestasis of Pregnancy, ICP) 3 cases; mere 13 cases of fetal growth retardation; amniotic fluid factors in 11 cases, including 4 cases of polyhydramnios, oligohydramnios 7; fetal malformation in 1 case. 2. Inspection Methods: Pregnant women supine on the exam table, using color Doppler ultrasound probe to explore the abdomen in the fetal umbilical artery, when the smell and sounds typical of umbilical artery and appears on the screen on a typical waveform of umbilical artery blood flow, frozen and analyzed waveform, measuring 5 to 15 waveforms, obtaine