国际妇产科学杂志

国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (2): 215-219.

• 综述 • 上一篇    下一篇

脐带形态学异常对胎儿结局的影响研究进展

张凡，邵勇   

  1. 400016 重庆医科大学附属第一医院产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-04-15 发布日期:2015-04-15
  • 通讯作者: 邵勇

The Influence of Umbilical Cord Morphologic Abnormalities in Fetal Outcomes

ZHANG Fan，SHAO Yong   

  1. Department of Obstetrics，The First Affiliated Hospital of Chongqing Medical University，Chongqing 400016，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-04-15 Online:2015-04-15
  • Contact: SHAO Yong

PDF (PC)

5717

被引次数

9

摘要： 脐带是胎儿和胎盘组织之间的重要连接，是母体与胎儿进行物质交换的纽带。近年来，国内外大量研究显示，脐带形态学异常可引起胎儿循环障碍从而导致胎儿和新生儿严重不良结局的发生，如胎儿生长受限、胎儿窘迫、新生儿窒息或死亡，以往有报道脐带异常新生儿病死率为28.5%，由此可见，正确认识脐带异常非常重要。综述脐带形态学异常与胎儿结局的关系，发现脐带长度异常、脐带缠绕、脐带扭转、脐带打结、脐带附着异常、单脐动脉等均能导致胎儿和新生儿不良结局的发生。

关键词: 脐带, 胎儿窘迫, 胎儿生长迟缓, 单脐动脉

Abstract: The umbilical cord is an important connection between the fetus and placenta tissue，is maternal and fetal material exchange link. In recent years，a large number of domestic and international studies have shown that abnormal umbilical cord morphology can cause fetal circulation problems leading to the occurrence of fetal and neonatal severe adverse outcomes，such as fetal growth restriction，fetal distress, neonatal asphyxia or death. The fatality rate of abnormal umbilical cord neonatal was 28.5% reported previously， Therefore，correct understanding of abnormal umbilical cord is very important. In this paper，the relationship between morphological abnormal umbilical cord and fetal outcome is reviewed. And abnormal umbilical cord length，umbilical cord entanglement，umbilical cord twist，umbilical cord knot，abnormal umbilical cord attached，single umbilical artery，and so on, all can affect fetal and neonatal adverse outcomes.

Key words: Umbilical cord, Fetal distress, Fetal growth retardation, Single umbilical artery