超声监测羊水过多及临床分析

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1、超声监测羊水过多及临床分析超声监测羊水过多及临床分析【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例胎儿发冇异常，即肾积水4例、胎儿腹腔积液1例。持续性羊

2、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UltrasoundmonitormghydramniosandclinicalanalysisXuWeidongHuXiaodan[Abstract]Purpose：Toexploretherelatsonshipofmonitoringhydramniosandt

3、hepregnancyoutcome・Method：InthewholeofpregnancywithnotlessthanfourultrasoundExaminatronsof1155caseswithultrasounddiagnosisastheresearohobject・InordertoRnowtheRelationshipbetweenhydramniosandthepregnancyoutcome・Bymeasuringtheanrnioticfluidmaximumdepthandamnioticflurdindexandthechangeoftheami

4、oticfluid,theamnioticfluidhadmuchbedividedintofourkinds:thefirstistemporaryoratransienthydramnios,thesecondispermanentorpersistenthydramnios,andthelastoneislatepregnancyorbirthhydramnios・Result：Tromsienthydramnios406cases,withoutthefetusanomalycases,theendingisgood,recurrenthydramnios18case

5、s,2hydronephrosis.Lateuteruseshydramnios673cases,5abnormalwith4hydronephrosisand1celiaceffusion.Persistenthydramnios58cases,1isthecerebellummedullaoblongatapodexpansion,2lateralrentricleexpansion,limpefforateanus.Conclusion：pernatalultrasonographicinobservationamnioticfluidsituationisintuit

6、ive,dear,andconvenientandrepeatability,canprovidereliablebasisforclinicaldiagnosisandfacilitateclinicianstohydramniospregna.ntwomenofthesystematicmanagement,therebystrengtheningantenatalintrapartumfetalmonitoring,inordertoreduceoravoidbadoutcomewhichcausedbyhydramnios・[Keywords]hydramnios；A

7、mnioticfluidmaximcondepth；Amnioticfluidindex(AFI)；Drinkingwatertreatment【中图分类号】R235【文献标识码】B【文章编号】1005-0515(2011)02-0011-02有关羊水过少的超声及临床研究文章报道很多，然而，羊水过多的研究询未见到。羊水过多是一种常见的妊娠并发症，威胁母亲安全,同吋影响着围产儿的预后。本文通过对1155例羊水过多病例进行超声监测及临床分析，探讨其与妊娠结局的关系。❷1资料与方法1.1一般资料：2008年1