摘要
目的 探讨巨大胎儿的产前诊断及分娩方式 ,降低母儿并发症。方法 回顾分析 5 0 5例巨大胎儿诊断、分娩方式及并发症 ,并与单胎正常体重儿分娩情况进行比较。结果 巨大胎儿中双顶径 (BPD) +股骨长度(FL) >16 5cm者占 88 46 % ,剖宫产组较阴道分娩组新生儿窒息率及产伤机会均明显降低 ,巨大胎儿与正常体重儿相比难产率明显升高。结论 BPD +FL >16 5cm可做为产前诊断巨大胎儿的一项可靠指标 ,对巨大胎儿应避免困难的阴道助产 。
Objective To investigate the prenatal diagnosis and delivery mode for fetal macrosomia in order to decrease the complications in both mothers and neonates.Methods We analyzed 505 fetal macrosomia in the diagnosis,delivery mode and complications,and compared them with those in normal weight fetus.Results Biparietal diameter(BPD)+ femur length(FL)>16 5cm covered 88 46%,the chance of asphyxia and getting hurt during cesarean section were less than those in vaginal delivery.The rate of dystocia in fetal macrosomia increased obviously compared with that in normal body weight fetus.Conclusion BPD+FL>16 5cm can be a reliable index for the diagnosis of fetal macrosomia. We should try to avoid the difficult midwifery in vagina and widen the index for cesarean section in fetal macrosomia.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2000年第5期295-296,共2页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
巨大胎儿
诊断
分娩
并发症
Fetal macrosomia Diagnosis Parturition Complication
