羊水过少202例临床分析

首都医科大学学报 ›› 1999, Vol. 20 ›› Issue (3): 205-207.

羊水过少202例临床分析

刘玉环, 王瑛

首都医科大学附属北京复兴医院妇产科

收稿日期:1999-01-25 修回日期:1900-01-01 出版日期:1999-07-15 发布日期:1999-07-15

The Clinical Analysis of 202 Cases of Oligohydramnios

Liu Yuhuan, Wang Ying

Department of Obstetrics and Gynecology, Beijing Fuxing Hospital, Affiliate of Capital University of Medical Sciences

Received:1999-01-25 Revised:1900-01-01 Online:1999-07-15 Published:1999-07-15

摘要/Abstract

摘要： 回顾分析了1988年1月至1998年7月202例羊水过少病例。发现：羊水过少发病率为1.47%,其中延期及过期妊娠占52.48%,胎儿宫内生长迟缓(IUGR)、妊娠高血压综合征及过期妊娠是其常见并发症。B超诊断羊水过少符合率为72.77%.羊水过少组围生儿死亡率为0.99%,剖宫产率为92.08%.羊水过少组的胎儿宫内窘迫发生率为44.55%,显着高于羊水正常组(21.03%,P<0.01),新生儿窒息发生率为2.48%,与羊水正常组(1.19%)相比无显着性差异(P>0.05).并发现随着羊水量的减少,胎儿宫内窘迫的发生率有增高的趋势,当羊水量≤50mL时,胎儿宫内窘迫发生率高达86.00%(P<0.01).结果提示：B超是产前诊断羊水过少的简单而有效的方法,早期诊断、尽快剖宫产是改善围生儿预后的关键。

关键词: 羊水过少, 胎儿宫内窘迫, 新生儿窒息

Abstract: To investigate perinatal diagnosis of oligohydramnios and outcome of perinatal fetus methods 202 cases of oligohydramnios were reviewed. The incidence of oligohydramnios, from January, 1988 to July, 1998, was 1.47%(202/13 738). The prolonged pregnancy was 52.48 % (106/202). IUGR, EPH syndrome and prolonged pregnancy were common complications. The accordance rate that ultrasonography diagnosed oligohydramnios was 72.77%(147/202). The incidence of fetal distress and asphyxia neonatorum were 44.55%(90/202) and 2.48%(5/202) respectively. The death rate of perinatal fetus was 0.99%(2/202). The cesarean section rate was 92.08%(186/202). The result showed that ultrasonography is a simple and effective method diagnose oligohydramnios in the period of gestation. Early diagnosis and quickly performed ceasarean section is the key to improve the outcome of perinatal fetus of oligohydramnios.

Key words: oligohydramnios, fetal distress, asphyxia neonatorum

中图分类号:

R714.4

刘玉环;王瑛. 羊水过少202例临床分析[J]. 首都医科大学学报, 1999, 20(3): 205-207.

Liu Yuhuan;Wang Ying. The Clinical Analysis of 202 Cases of Oligohydramnios[J]. Journal of Capital Medical University, 1999, 20(3): 205-207.

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