论文部分内容阅读
目的:研究彩色多普勒超声对脐带绕颈的超声诊断价值及临床效果,探究其临床适用性。方法:选取94例在我院接受B超检查的患者作为研究病例,简单随机分为研究组和对照组,对照组患者采用普通B超进行检测,研究组患者采用彩色多普勒超声进行检查。观察两组患者检查后的诊断结果与产后证实结果的的比较情况;同时观察两种检查方法在检查患儿症状的比较情况。结果:研究组经彩色多普勒超声检查显示,与顺产或者剖宫产产后数据对比,正确诊断率为97.9%;而对照组经普通B超检测检查显示,其正确诊断率为80.9%;两组检查方法的诊断率比较,差异具有统计学意义(P<0.05);研究组患者检查结果显示新生儿窒息、宫内窘迫、死胎发生率等均明显低于对照组患者,差异具有统计学意义(P<0.05);S/D值≥3的阴道助产率明显高于S/D值<3的,差异具有统计学意义(P<0.05),而剖宫产率基本相符,差异统计学意义(P>0.05);同时S/D值≥3患儿Apgar评分在4~7分的发生率显著高于S/D值<3的,差异具有统计学意义(P<0.05),而Apgar评分0~3分发生率基本相符,差异统计学意义(P>0.05)。结论:彩色多普勒超声用于检查脐带绕颈具有较高的诊断价值,安全可靠,操作简单,诊断率高,适合临床长期推广应用。
Objective: To study the diagnostic value and clinical effect of color Doppler ultrasound on the umbilical cord around the neck and to explore its clinical applicability. Methods: Ninety-four patients undergoing B-ultrasound in our hospital were selected as study cases and randomly divided into study group and control group. Patients in control group were tested by ordinary B-mode ultrasonography, while study group were examined by color Doppler ultrasonography. Observe two groups of patients after the diagnosis of post-mortem test results and confirmed the comparison; also observe the two test methods in the examination of children’s symptoms comparison. Results: The study group by color Doppler ultrasound showed that the correct diagnosis rate was 97.9% when compared with the data of delivery or cesarean section; while the control group by normal B-ultrasound examination showed that the correct diagnosis rate was 80.9%; two (P <0.05). The study results of the study group showed that neonatal asphyxia, intrauterine distress and stillbirth rate were significantly lower than those in the control group, the difference was statistically significant (P <0.05). The vaginal delivery rate with S / D ≥3 was significantly higher than that with S / D <3, the difference was statistically significant (P <0.05), while the rate of cesarean section was basically the same (P> 0.05). At the same time, the incidence of Apgar score of children with S / D ≥3 was significantly higher than that of S / D value <3 (P <0.05) at 4 ~ 7, while the difference was statistically significant The scores of 0 ~ 3 were basically consistent, the difference was statistically significant (P> 0.05). Conclusion: Color Doppler ultrasound is a valuable diagnostic tool for the diagnosis of umbilical cord wound around the neck. It is safe, reliable, easy to operate and has high diagnostic rate. It is suitable for long-term clinical application.