经腹羊膜腔灌注术治疗妊娠中期合并羊水过少的疗效评价及对围生儿结局的影响

摘要

目的:探讨经腹羊膜腔灌注术在妊娠中期羊水过少病人中的临床治疗效果以及围生儿的结局.方法:63例妊娠中期羊水过少病人按照自愿原则分为观察组和对照组,对照组采用传统补液方法治疗,观察组实施经腹羊膜腔灌注手术治疗,比较2组的治疗效果.结果:观察组超声诊断率为93.3％,明显高于对照组的51.5％(P0.05);观察组新生儿肺发育不全数少于对照组(P0.05).结论:对妊娠中期合并羊水过少的孕妇进行经腹羊膜腔灌注术能及时排除胎儿畸形,并有效改善围生儿预后,减少并发症.%Objective:To investigate the effects of transabdominal amnioinfusion in the treatment of oligohydramnios during the second trimester and its effects on the prenatal outcome.Methods:Sixty-three patients with oligohydramnios during the second trimester were divided into the observation group and control group according to the voluntariness principle.The control group and observation group were treated with the conventional method and transabdominal amnioinfusion surgery,respectively.The curative effects was compared.Results:The diagnostic rate of ultrasound in observation group(93.3％)was significantly higher than that in control group(51.5％)(P0.05).The number of pulmonary hypoplasia in observation group was less than that in control group(P0.05).Conclusions:The treatment of oligohydramnios during the second trimester with transabdominal amnioinfusion can timely excluded the fetal anomalies,effectively improve the prenatal outcome and reduce complications.