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目的探讨脐带绕颈发生原因及对围产儿的影响和分娩方式的选择。方法回顾性研究我院2005-2007年间脐带绕颈178例,分析脐带绕颈分娩方式的选择及对围产儿的影响。结果脐带过短无一例发生脐带绕颈,脐带绕颈组脐带平均长度明显高于无脐带绕颈组,两组比较差异有统计学意义(P<0.01),胎儿窘迫、新生儿窒息等在脐带绕颈和非脐带绕颈两组中非常接近,两组相比差异无统计学意义(P>0.05)。结论脐带绕颈与脐带长度有一定的关系,脐带过长是导致脐带绕颈的基本因素,脐带绕颈可在严密监护下行阴道试产。
Objective To investigate the causes of umbilical cord around the neck and the impact on perinatal delivery and delivery options. Methods A retrospective study of our hospital from 2005 to 2007, 178 cases of umbilical cord around the neck, the analysis of choice of umbilical cord around the delivery mode and the impact on perinatal children. Results There was no umbilical cord around the neck. The average length of the umbilical cord around the neck was significantly higher than that of the umbilical cord around the neck. There was significant difference between the two groups (P <0.01), fetal distress, neonatal asphyxia, Around the neck and non-umbilical cord around the neck is very close to the two groups, no significant difference between the two groups (P> 0.05). Conclusion The umbilical cord around the neck and the length of the umbilical cord has a certain relationship, the umbilical cord is too long lead to the neck around the neck of the basic factors, umbilical cord around the neck can be closely monitored vaginal trial production.