Nelson L H, Goodman H O, Brown S H
Obstet Gynecol. 1977 Jul;50(1):65-7.
Experience with 107 consecutive patients with and without ultrasonography preceding diagnostic amniocentesis is presented. Cell cultures and alpha-fetoprotein levels were obtained on all specimens. Adequate cell growth was found in both groups. The frequency of bloody taps was reduced from 15 to 6.9% and of repeat taps from 6.3 to 0%. Possible complications of amniocentesis which might be avoided by prior ultrasonography are discussed. The use of gray scale or real time ultrasonography prior to diagnostic amniocentesis is stressed.
本文介绍了对107例连续患者进行诊断性羊膜穿刺术的经验,这些患者有的在穿刺前接受了超声检查,有的则未接受。对所有样本都进行了细胞培养和甲胎蛋白水平检测。两组均获得了足够的细胞生长。血性穿刺的发生率从15%降至6.9%,重复穿刺的发生率从6.3%降至0%。讨论了通过术前超声检查可能避免的羊膜穿刺术的潜在并发症。强调了在诊断性羊膜穿刺术前使用灰阶或实时超声检查。