CAJ | 학술논문

目的探讨羊膜腔灌注在妊娠中期羊水过少中的应用价值.方法回顾性分析妊娠中期经超声检查诊断为羊水过少孕妇50例,经腹介人性超声引导下行羊膜腔灌注适量温热的0.9%氯化钠溶液,术后再次超声检查了解羊水情况及胎儿发育有无畸形.结果 15例发现胎儿畸形,其中2例双肾缺如(其中1例合并膀胱缺如),2例双肾发育不良,1例多囊肾,1例双肾积水,2例多器官发育异常,21-三体、18-三体、13-三体各1例,单脐动脉、染色体异常1例,胎儿双肺发育不良2例,成骨发育不良1例.其余35例羊水过少孕妇与同期35例正常孕妇分娩结局比较,差异无统计学意义(P>0.05).结论经腹羊膜腔灌注在妊娠中期羊水过少中具有诊断及治疗的双重作用.
목적 탐토양막강관주재임신중기양수과소중적응용개치.방법 회고성분석임신중기경초성검사진단위양수과소잉부50례,경복개인성초성인도하행양막강관주괄량온열적0.9%록화납용액,술후재차초성검사료해양수정황급태인발육유무기형.결과 15례발현태인기형,기중2례쌍신결여(기중1례합병방광결여),2례쌍신발육불량,1례다낭신,1례쌍신적수,2례다기관발육이상,21-삼체、18-삼체、13-삼체각1례,단제동맥、염색체이상1례,태인쌍폐발육불량2례,성골발육불량1례.기여35례양수과소잉부여동기35례정상잉부분면결국비교,차이무통계학의의(P>0.05).결론 경복양막강관주재임신중기양수과소중구유진단급치료적쌍중작용.
Objective To investigate the applied value of abnormalities of fetus with oligohydramnios in mid-pregnancy by anmioinfusion. Methods Fifty women with oligohydramnios diagnosed by ultrasonograph were analysed retrospectively. During the procedure 60-300 ml saline solution at 37 ℃ were infused into the amniotic cavity,made prenatal diagnosis at the same time necessarily. And examined the women to know whether the fetal anomaly existed or not after the amnioinfusion by the ultrasound. Results There were 15 cases with fetal anomaly, 8 cases with genitotirinary anomaly(2 cases associated with multiple organs anomaly), 1 case with single umbilical artery, 4 cases with chromosomal abnormality (2 cases associated with fetal growth restriction), 2 cases with pulmonary hypolasia. There was no significant difference in dilivery outcome between others and 35 cases with normal pregnant women (P >0.05). Conclusion Transabdominal amnioinfusion has double function on beth diagnosis and therapy for the oligohydramnios in the mid-pregnancy.