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目的探讨羊水过少导致的妊娠结局及处理方法,提高产科质量。方法回顾分析2007年7月至2011年5月360例足月妊娠羊水过少妊娠结局分析。结果 360例足月妊娠羊水过少患者过期妊娠60例,妊娠期高血压疾病64例,胎儿宫内发育迟缓(FGR)30例,胎儿窘迫60例。新生儿窒息50例。剖宫分娩313例,自然分娩45例,产钳助产2例,剖宫产率为87%。结论超声诊断羊水过少严重影响围生儿预后,采用超声诊断发现羊水过少,及早采取相应的干预措施,适当放宽剖宫产指征,可有效控制围生儿母婴病率。
Objective To investigate the result of pregnancy induced by oligohydramnios and to improve the quality of obstetrics. Methods From July 2007 to May 2011, 360 pregnant women with term oligohydramnios were analyzed for pregnancy outcome. Results 360 cases of term pregnancy with oligohydramnios in 60 cases of late pregnancy, 64 cases of hypertensive disorders during pregnancy, fetal intrauterine growth retardation (FGR) in 30 cases, fetal distress in 60 cases. Neonatal asphyxia in 50 cases. Cesarean delivery in 313 cases, 45 cases of natural delivery, forceps midwifery in 2 cases, cesarean section rate was 87%. Conclusions Ultrasound diagnosis of oligohydramnios seriously affects the prognosis of perinatal children. Ultrasound diagnosis shows that oligohydramnios is too small. Corresponding intervention measures are taken as soon as possible, and cesarean section indications can be appropriately relaxed, which can effectively control the rate of perinatal infant.