产前急诊床旁二维B超临床应用价值.docVIP

产前急诊床旁二维B超临床应用价值【摘要】 目的 探讨急诊床旁(产前)二维超声(UBCPET) 检查的临床价值。方法 回顾性分析本院2003年6月至2006年6月进行(UBCPET) 检查的2 500例患者资料。结果 2 500例患者(产妇)中，正常胎位(枕前位、枕左横、枕右横)2 139例，符合率为97%。持续性枕横位及枕后位238例，符合率为98%，臀位110例、横位13例，符合率为98%，脐带绕颈者750 例，符合率为96%。前置胎盘25例，符合率为100%，胎盘早剥17例，符合率为64%。羊水及胎儿异常188例(羊水浑浊及粪染30例，胎儿畸形8例)，符合率为91%。结论 UBCPET可快捷、方便的为临床做出诊断、为医生提供准确可靠的诊治依据，减少母婴生产危险。 【关键词】 产前急诊床旁B超检查 Clinical values of ultrasonic B in parturient emergency treatments QIAN Run-ming,CHENG Li-heng,LUO Chabg-qin.Combined Chinese and Western Mediline Hospital of Liangshan Prefecture,Sichuan Province 615000,China 【Abstract】 Objective To discuss the clinical values of ultrasonic B checking in parturient emergency treatments (UBCPET).Methods Analysized from the reviewing of UBCPET 2 500 lying-in women checked in our hospital from June 2003 to June 2006.Results Among 2 500 cases (lying-in women), 2 139 cases were in normal postion(occipitounterior position, including left occipito-transverse-LOT and right occpito-tranverse-ROT), reached 97%in homology. Persistent occipitotranserse position and occipitoposterior position were 238 cases，reached 98%; breech presentation was 110 cases, troso presentation was13 cases, reached 98%; cord around neck was 750 cases, reached 96%. Placenta previa was 100%，separation of placenta was 64%. Amniotic fluid and fetus abnormality were 188 cases(macrosomatia 30, oaf 8),reached 91%.Conclusion UBCPET can help make diagnosis fastly, conveniently; provides doctors with reliable ,accurate foundation in diagnosis and treatments; reduces hazards in childbearing. 【Key words】 Ultrasonic B checking in parturient emergency treatments(UBCPET) 目前产前急诊床旁B超检查(UBCPET)的应用愈来愈受到临床的重视，本研究旨在通过回顾性总结分析UBCPET的应用结果，探讨(UBCPET)在临床应用中的价值。 1 资料与方法 本资料选本院2003年6月至2006年6月 (产前急诊检查)2 500例孕妇，均系住院患者，年龄21~42岁，平均30．5岁，孕周32~42周。所用仪器为MEDISON便携式超声诊断仪，探头频率为3．5 MHz。 常规经腹部观察并测量与观察逐步向下观察脊柱各节段，并顺次观察胸部，心脏和腹腔各脏器；四肢及外生殖器，最后观察羊水分布情况，进行胎盘定位，有无早剥,成熟度的判定，及有无脐带绕颈、绕胸等情况。 2 结果 2 500例产妇中，正常顺产(自然分娩)含胎儿、胎位正常1 450例(58%)，剖宫