CAJ | 학술논문

目的：探讨急诊床旁超声在血管前置及脐带脱垂诊断中的价值。资料与方法回顾性分析12例血管前置及18例脐带脱垂患者的资料，分析急诊床旁超声诊断血管前置及脐带脱垂的检出率。结果12例血管前置患者急诊床旁超声检出9例，2例误诊为脐带脱垂，1例漏诊，漏诊者死于经阴道分娩时发生的大出血。18例脐带脱垂患者急诊床旁超声检出15例，2例误诊为血管前置，1例漏诊，无死亡病例。急诊床旁超声对血管前置及脐带脱垂的检出率差异无统计学意义（P>0.05）。结论急诊床旁超声可以及时诊断血管前置及脐带脱垂，为临床提供指导，降低胎儿及围生儿病死率。
목적：탐토급진상방초성재혈관전치급제대탈수진단중적개치。자료여방법회고성분석12례혈관전치급18례제대탈수환자적자료，분석급진상방초성진단혈관전치급제대탈수적검출솔。결과12례혈관전치환자급진상방초성검출9례，2례오진위제대탈수，1례루진，루진자사우경음도분면시발생적대출혈。18례제대탈수환자급진상방초성검출15례，2례오진위혈관전치，1례루진，무사망병례。급진상방초성대혈관전치급제대탈수적검출솔차이무통계학의의（P>0.05）。결론급진상방초성가이급시진단혈관전치급제대탈수，위림상제공지도，강저태인급위생인병사솔。
Purpose To investigate the value of bedside ultrasonography for emergent patients in the diagnosis of vasa previa and umbilical cord prolapse. Materials and Methods The bedside ultrasonography data of 12 emergent cases of vasa previa and 18 emergent cases of umbilical cord prolapse were retrospectively analyzed for detection rate. Results Nine out of 12 emergent patients with vasa previa were detected by bedside ultrasonography;2 were misdiagnosed as umbilical cord prolapsed;and 1 patient who had missed diagnosis suffered fetal demise during vaginal labour. Fifteen out of 18 emergent patients with umbilical cord prolapse were detected by bedside ultrasonography;2 were misdiagnosed as vasa previa; and 1 missed diagnosis (no death case was reported). The detection rates for both groups of patients had no significant difference (P>0.05). Conclusion Bedside ultrasonography for emergent patients can visualize the traveling of vasa previa and umbilical cord prolapse so as to promptly provide evidence for clinical diagnosis and reduce perinatal mortality.