超声监测羊水过多及临床剖析.docVIP

超声监测羊水过多及临床剖析 　　【摘要】 目的：探讨超声监测羊水过多及妊娠结局的关系。方法：对在整个孕期不少于四次超声检查的超声诊断羊水过多者1155例作为研究对象，通过测量羊水最大深度和羊水指数及监测羊水变化情况，把羊水过多分为①暂时性或一过性羊水过多，②永久性或持续性羊水过多，③跳跃性或复发性羊水过多，④晚妊性或临产性羊水过多四种情况，以便了解其与妊娠结局的关系。结果：一过性羊水过多者406例，未发现胎儿发育异常病例，妊娠结局良好。跳跃性羊水过多者18例，2例胎儿肾积水。晚妊性羊水过多者673例，5例胎儿发育异常，即肾积水4例、胎儿腹腔积液1例。持续性羊水过多者58例，1例小脑延水池扩张、2例侧脑室扩张、1例肛门闭锁。结论产前超声检查观察羊水情况直观、明确、方便、可重复性强，能为临床提供可靠的诊断依据，便于临床医师对羊水过多孕妇的系统化管理，从而加强产前产时胎儿的监护，以减少、避免因羊水过多导致的不良妊娠结局。 　　【关键词】羊水过多；羊水最大深度；羊水指数；饮水疗法 　　Ultrasound monitormg hydramnios and clinical analysis 　　XuWeidong HuXiaodan 　　【Abstract】Purpose：To explore the relatsonship of monitoring hydramnios and the pregnancy outcome． Method：In thewhole ofpregnancywith not less than four ultrasound Examinatrons of 1155 cases with ultrasound diagnosis as the researoh object．In order to Rnow theRelationship between hydramnios and the pregnancy outcome．By measuring the amniotic fluid maximum depth and amniotic flurd index and the change of the amiotic fluid, the amniotic fluid had much be divided into four kinds; the firstis temporary or a transient hydramnios, the second is permanent or persistent hydramnios, and the last one is late pregnancy or birth hydramnios．Result：Tromsient hydramnios 406 cases,without the fetus anomaly cases,the ending is good,recurrent hydramnios 18 cases,2 hydronephrosis.Late uteruses hydramnios 673 cases,5 abnormal with 4 hydronephrosis and 1 celiac effusion.Persistent hydramnios 58 cases,1 is the cerebellum medulla oblongata pod expansion,2 lateral rentricle expansion,1impefforate anus.Conclusion：pernatal ultrasonographic in observation amniotic fluid situation is intuitive,dear,and convenient and repeatability,can provide reliable basis for clinical diagnosis and facilitate clinicians to hydramnios pregnant women of the systematic management,thereby strengthening antenatal intrapartum fetal monitoring,in order to reduce or avoid bad outcome which caused by hydramnios. 　　【Key words】hydramnios；Amniotic fluid maximcon depth；Amniotic fluid index(AFI)；Drinkin