摘要
目的:了解胎盘提前老化的超声征象。方法:回顾性分析33例妊娠37周超声观察到Ⅲ级成熟度的单胎妊娠产妇,并随机抽取同期60例足月后观察到Ⅲ级胎盘成熟度的单胎妊娠作对照,比较两组的孕龄、新生儿体重、羊水过少发生率和剖宫产率。结果:胎盘提前老化组的孕龄为(36.34±2.53)周,新生儿出生体重为(2 816.13±501.78)g,显著小于对照组(39.63±2.41)周和(3 441.26±423.17)g,P<0.001;羊水过少发生率(24.24%)和择期剖宫产率(87.88%)显著高于对照组(6.67%和46.63%,P<0.05)。结论:胎盘提前老化的超声征象、羊水过少和新生儿出生体重减少,可提示胎盘功能减退,应密切监护。
Objective: To analyze the ultrasonic features of placental premature aging. Methods: The perinatal outcomes and uhrasonic results of 33 pregnant women with preterm grade Ⅲ placenta and within 37 weeks of gestation were analyzed retrospectively, and were compared to those of 60 pregnant women with preterm grade Ⅲ placenta at full term (〉37 weeks). Results: The gesta- tional weeks and newborn weight were significantly lower than those in control group respectively (36.34±2.53) weeks versus (39.63±2.41) weeks, and (2 816.13±501.78) g versus (3 441.26 ±423.17) g, respectively, and both P〈0. 001,and the incidence of oligohydramnios (24. 24%) and rate of cesarean delivery (87.88 %) were significantly higher than those in the control group respectively (6.25% and 47.5%, both P〈0.05). Conclusion: The ultrasonic features of preterm grade Ⅲ placenta less than 37 weeks of gestation are correlated with oligohydramnois and low birth weight, and close monitoring of uhrasonography might help to predict placental dysfunction.
出处
《武汉大学学报(医学版)》
CAS
北大核心
2009年第5期652-654,共3页
Medical Journal of Wuhan University
关键词
胎盘老化
超声描记术
围产期结局
Placental Maturation
Ultrasonography
Perinatal Outcome