产前超声检查发现脐带呈分叉状插入，胎盘为双叶状。
Furcate umbilical cord insertion with a bilobed placenta identified on prenatal ultrasonography.
作者信息
Smith Megan, McCullum Bethany
机构信息
TRG Imaging 115 Te Heuheu Street Taupo 3330 New Zealand.
Rotorua Hospital Lakes District Health Board Private Bag 3023 Rotorua 3046 New Zealand.
出版信息
Australas J Ultrasound Med. 2022 Mar 17;25(2):98-102. doi: 10.1002/ajum.12293. eCollection 2022 May.
Abstract
A furcate cord insertion is a rare finding, which increases the risk of adverse fetal outcomes. There are few reports of prenatal detection in the literature. We present a case of prenatally detected furcate cord insertion, diagnosed at 39 weeks' gestation and delivered by elective caesarean section. The neonate was small for dates, but this finding was non-specific due to smoking during pregnancy. No other adverse effects to the fetus were found. The placenta required manual removal after attempted cord traction resulted in vessel avulsion at the furcate cord insertion site. Further research is required to develop recommendations for the safe management of this condition.
摘要
脐带分叉插入是一种罕见的情况，会增加不良胎儿结局的风险。文献中关于产前检测的报道很少。我们报告一例产前检测到的脐带分叉插入病例，在妊娠39周时诊断，通过择期剖宫产分娩。新生儿小于孕周，但由于孕期吸烟，这一发现并无特异性。未发现对胎儿的其他不良影响。在尝试牵拉脐带导致脐带分叉插入部位血管撕裂后，胎盘需要手动剥离。需要进一步研究以制定针对这种情况的安全管理建议。
相似文献
1
Furcate umbilical cord insertion with a bilobed placenta identified on prenatal ultrasonography.产前超声检查发现脐带呈分叉状插入，胎盘为双叶状。
Australas J Ultrasound Med. 2022 Mar 17;25(2):98-102. doi: 10.1002/ajum.12293. eCollection 2022 May.
2
Marginal cord insertion in the first trimester is associated with furcate cord insertion.边缘性脐带插入与分叉状脐带插入有关。
BMC Pregnancy Childbirth. 2024 Jun 15;24(1):431. doi: 10.1186/s12884-024-06562-4.
3
Prenatal Diagnosis of a Furcate Placenta.分叉胎盘的产前诊断。
Obstet Gynecol. 2020 Apr;135(4):960-963. doi: 10.1097/AOG.0000000000003744.
4
Prenatal diagnosis of abnormal umbilical cord insertion: a rare case of furcate insertion.异常脐带插入的产前诊断：一例罕见的分叉插入病例。
J Med Ultrason (2001). 2017 Apr;44(2):203-205. doi: 10.1007/s10396-016-0758-1. Epub 2016 Nov 17.
5
Intrauterine fetal death due to rupture of umbilical vessels: a rare case of furcate cord insertion.因脐血管破裂导致的宫内胎儿死亡：一种罕见的分叉脐带插入情况。
BMC Pregnancy Childbirth. 2024 Jul 5;24(1):464. doi: 10.1186/s12884-024-06660-3.
6
A case of intrauterine fetal death related to furcate cord insertion: a brief review of the literature and professional liability considerations.与分叉脐带插入相关的宫内胎儿死亡病例：文献综述及专业责任考虑。
Int J Legal Med. 2023 Jul;137(4):1093-1096. doi: 10.1007/s00414-023-02984-5. Epub 2023 Mar 20.
7
Furcate insertion of the umbilical cord: pathological and clinical characteristics in 132 cases.脐带分叉插入：132 例的病理和临床特征。
J Perinat Med. 2020 Oct 25;48(8):819-824. doi: 10.1515/jpm-2019-0459.
8
Furcate Umbilical Cord Insertion: Disparate Outcomes of a Rare Obstetrical Finding. A Case Report.分叉脐带插入：一种罕见产科发现的不同结局。病例报告。
J Reprod Med. 2015 Jul-Aug;60(7-8):365-8.
9
Sudden intrauterine death associated with furcate insertion of the umbilical cord.脐带分叉插入与突然宫内死亡相关。
Int J Legal Med. 2009 Nov;123(6):509-12. doi: 10.1007/s00414-008-0295-6. Epub 2008 Nov 26.
10
Velamentous and Furcate Cord Insertion with Placenta Accreta in an IVF Pregnancy with Unicornuate Uterus.单角子宫体外受精妊娠合并帆状及分支状脐带附着伴胎盘植入
Case Rep Obstet Gynecol. 2013;2013:539379. doi: 10.1155/2013/539379. Epub 2013 Dec 23.
引用本文的文献
1
MR Imaging of Umbilical Cord Variations, Abnormalities, and Associated Placental Findings.脐带变异、异常及相关胎盘表现的磁共振成像
Magn Reson Med Sci. 2025 Aug 6;24(3):366-386. doi: 10.2463/mrms.rev.2025-0036. Epub 2025 Jul 31.
2
Intrauterine fetal death due to rupture of umbilical vessels: a rare case of furcate cord insertion.因脐血管破裂导致的宫内胎儿死亡：一种罕见的分叉脐带插入情况。
BMC Pregnancy Childbirth. 2024 Jul 5;24(1):464. doi: 10.1186/s12884-024-06660-3.
3
Marginal cord insertion in the first trimester is associated with furcate cord insertion.边缘性脐带插入与分叉状脐带插入有关。
BMC Pregnancy Childbirth. 2024 Jun 15;24(1):431. doi: 10.1186/s12884-024-06562-4.
4
A case of intrauterine fetal death related to furcate cord insertion: a brief review of the literature and professional liability considerations.与分叉脐带插入相关的宫内胎儿死亡病例：文献综述及专业责任考虑。
Int J Legal Med. 2023 Jul;137(4):1093-1096. doi: 10.1007/s00414-023-02984-5. Epub 2023 Mar 20.
5
Diversity in ultrasound practice and education.超声实践与教育中的多样性。
Australas J Ultrasound Med. 2022 Jun 15;25(2):53. doi: 10.1002/ajum.12304. eCollection 2022 May.
本文引用的文献
1
Furcate insertion of the umbilical cord: pathological and clinical characteristics in 132 cases.脐带分叉插入：132 例的病理和临床特征。
J Perinat Med. 2020 Oct 25;48(8):819-824. doi: 10.1515/jpm-2019-0459.
2
Prenatal Diagnosis of a Furcate Placenta.分叉胎盘的产前诊断。
Obstet Gynecol. 2020 Apr;135(4):960-963. doi: 10.1097/AOG.0000000000003744.
3
AIUM Practice Parameter for the Performance of Detailed Second- and Third-Trimester Diagnostic Obstetric Ultrasound Examinations.美国超声医学学会孕中期和孕晚期详细诊断性产科超声检查的实践参数
J Ultrasound Med. 2019 Dec;38(12):3093-3100. doi: 10.1002/jum.15163.
4
Performance of ultrasound for the visualization of the placental cord insertion.超声检查在胎盘脐带插入可视化中的应用性能。
Curr Opin Obstet Gynecol. 2019 Dec;31(6):403-409. doi: 10.1097/GCO.0000000000000590.
5
Structured evaluation and reporting in imaging of placenta and umbilical cord.胎盘和脐带成像的结构化评估与报告
Acta Radiol. 2020 May;61(5):685-704. doi: 10.1177/0284185119875644. Epub 2019 Sep 24.
6
Modern Ultrasonography of the Umbilical Cord: Prenatal Diagnosis of Umbilical Cord Abnormalities and Assessement of Fetal Wellbeing.脐带的现代超声检查：脐带异常的产前诊断和胎儿健康评估。
Med Sci Monit. 2019 Apr 30;25:3170-3180. doi: 10.12659/MSM.913762.
7
Wharton's jelly absence: a possible cause of stillbirth.华通胶缺失：死产的一个可能原因。
Autops Case Rep. 2013 Dec 31;3(4):43-47. doi: 10.4322/acr.2013.038. eCollection 2013 Oct-Dec.
8
Prenatal diagnosis of abnormal umbilical cord insertion: a rare case of furcate insertion.异常脐带插入的产前诊断：一例罕见的分叉插入病例。
J Med Ultrason (2001). 2017 Apr;44(2):203-205. doi: 10.1007/s10396-016-0758-1. Epub 2016 Nov 17.
9
Furcate Umbilical Cord Insertion: Disparate Outcomes of a Rare Obstetrical Finding. A Case Report.分叉脐带插入：一种罕见产科发现的不同结局。病例报告。
J Reprod Med. 2015 Jul-Aug;60(7-8):365-8.
10
Comprehensive imaging review of abnormalities of the umbilical cord.脐带异常的综合影像学评估。
Radiographics. 2014 Jan-Feb;34(1):179-96. doi: 10.1148/rg.341125127.
Zotero 插件