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脐带真结及相关围产期不良结局：病例系列

True Knot of the Umbilical Cord and Associated Adverse Perinatal Outcomes: A Case Series.

作者信息

Gaikwad Vidya, Yalla Suneha, Salvi Pankaj

机构信息

Obstetrics and Gynecology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

出版信息

Cureus. 2023 Feb 23;15(2):e35377. doi: 10.7759/cureus.35377. eCollection 2023 Feb.

DOI:10.7759/cureus.35377
PMID:36987486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10039816/
Abstract

An actual knot that forms during pregnancy is known as a true knot of the umbilical cord (TKUC) which is seen in 0.3% to 1.2% of pregnancies. TKUC is noteworthy because it can lead to a variety of adverse perinatal outcomes, including infants with low Apgar scores, small for gestational age (SGA) fetuses, fetal hypoxia, and also in some cases fetal death. Here, we present instances of TKUC of three patients and the various associated perinatal outcomes.

摘要

孕期实际形成的结被称为脐带真结（TKUC），在0.3%至1.2%的妊娠中可见。脐带真结值得关注，因为它可导致多种不良围产期结局，包括阿氏评分低的婴儿、小于胎龄（SGA）胎儿、胎儿缺氧，在某些情况下还会导致胎儿死亡。在此，我们展示三例脐带真结患者的病例及各种相关围产期结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc0/10039816/5d74c6e05b1b/cureus-0015-00000035377-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc0/10039816/ca33d4ecb401/cureus-0015-00000035377-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc0/10039816/d4e5bc72b0ed/cureus-0015-00000035377-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc0/10039816/5d74c6e05b1b/cureus-0015-00000035377-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc0/10039816/ca33d4ecb401/cureus-0015-00000035377-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc0/10039816/d4e5bc72b0ed/cureus-0015-00000035377-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc0/10039816/5d74c6e05b1b/cureus-0015-00000035377-i03.jpg

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本文引用的文献

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Cureus. 2022 Jul 18;14(7):e26992. doi: 10.7759/cureus.26992. eCollection 2022 Jul.
2
Umbilical cord characteristics and their association with adverse pregnancy outcomes: A systematic review and meta-analysis.脐带特征及其与不良妊娠结局的关系：系统评价和荟萃分析。
PLoS One. 2020 Sep 24;15(9):e0239630. doi: 10.1371/journal.pone.0239630. eCollection 2020.
3
Current Perspectives of Prenatal Sonographic Diagnosis and Clinical Management Challenges of True Knot of the Umbilical Cord.
因两种罕见的脐带异常并存导致的胎儿死亡：法医学视角分析
Diagnostics (Basel). 2025 Jun 3;15(11):1423. doi: 10.3390/diagnostics15111423.
4
Perinatal Hypoxia and Immune System Activation in Schizophrenia Pathogenesis: Critical Considerations During COVID-19 Pandemic.围产期缺氧与精神分裂症发病机制中的免疫系统激活：COVID-19 大流行期间的关键思考。
Physiol Res. 2024 Nov 29;73(S2):S615-S639. doi: 10.33549/physiolres.935501.
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The benefit of active management in true knot of the umbilical cord: a retrospective study.脐带真结的主动管理获益：一项回顾性研究。
Arch Gynecol Obstet. 2024 Jul;310(1):337-344. doi: 10.1007/s00404-024-07568-1. Epub 2024 Jun 3.
脐带真结的产前超声诊断现状及临床管理挑战
Int J Womens Health. 2020 Mar 27;12:221-233. doi: 10.2147/IJWH.S192260. eCollection 2020.
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Prenatal Diagnosis of True Knot of the Umbilical Cord.脐带真结的产前诊断
J Obstet Gynaecol Can. 2020 Sep;42(9):1065-1066. doi: 10.1016/j.jogc.2019.03.003. Epub 2019 Aug 8.
5
True or false umbilical cord knot? Differentiation via 3D/4D color Doppler ultrasound.脐带真结还是假结？通过三维/四维彩色多普勒超声进行鉴别。
Ultraschall Med. 2018 Apr;39(2):127-128. doi: 10.1055/a-0571-8608. Epub 2018 Apr 5.
6
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PLoS One. 2018 Mar 27;13(3):e0194814. doi: 10.1371/journal.pone.0194814. eCollection 2018.
7
Prenatal ultrasound diagnosis and pregnancy outcome of umbilical cord knot - debate regarding ethical aspects of a series of cases.脐带打结的产前超声诊断与妊娠结局——关于一系列病例伦理问题的探讨
J Med Life. 2016 Jul-Sep;9(3):297-301.
8
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J Pak Med Assoc. 2016 Aug;66(8):1037-8.
9
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