Sarno A P, Polzin W J, Feinstein S J, Maslow A
Department of Obstetrics and Gynecology, Tripler Army Medical Center, TAMC, Hawaii, USA.
Fetal Diagn Ther. 1995 Nov-Dec;10(6):408-14. doi: 10.1159/000264266.
Fetal growth restriction with oligohydramnios occurring in the preterm gestation is associated with significant fetal morbidity and mortality. We investigated the possibility that transabdominal amnioinfusion might relieve acute cord compression and allow prolongation of gestation long enough to administer corticosteroids. Four patients with fetal growth restriction, oligohydramnios and evidence of significant cord compression with otherwise reassuring fetal heart rate testing underwent transabdominal amnioinfusion. Pregnancy was prolonged 22, 38, 10 and 9 days, and cord compression was relieved in all cases. One patient showed findings consistent with reversal of chronic hypoxemia with stabilization of amniotic fluid index measurements in the normal range and normalization of fetal growth. Transabdominal amnioinfusion may be useful as an adjunctive technique to prolong pregnancy in preterm gestations with fetal growth restriction, oligohydramnios and evidence of umbilical cord compression.
早产时发生的胎儿生长受限合并羊水过少与胎儿显著的发病率和死亡率相关。我们研究了经腹羊膜腔灌注术能否缓解急性脐带受压，并使孕周延长至足以使用糖皮质激素的可能性。四名患有胎儿生长受限、羊水过少且有明显脐带受压证据但胎儿心率检查结果令人放心的患者接受了经腹羊膜腔灌注术。孕周分别延长了22天、38天、10天和9天，所有病例的脐带受压均得到缓解。一名患者的检查结果显示慢性低氧血症得到逆转，羊水指数测量稳定在正常范围内，胎儿生长恢复正常。经腹羊膜腔灌注术作为一种辅助技术，对于延长患有胎儿生长受限、羊水过少且有脐带受压证据的早产妊娠的孕周可能是有用的。
