[脐带脱垂。文献综述。50例病例系列]
[Cord prolapse. Review of the literature. A series of 50 cases].
作者信息
Dufour P, Vinatier D, Bennani S, Tordjeman N, Fondras C, Monnier J C, Codaccioni X, Lequien P, Puech F
机构信息
Service de Gynécologie-Obstétrique, Hôpital Jeanne de Flandre, CHRU, Lille.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 1996;25(8):841-5.
OBJECTIVES
Identify the role of cord prolapse in modern obstetrics by estimating the frequency of this obstetrical accident, its conditions, prognosis and treatment and by analyzing factors favoring development of cord prolapse.
METHOD
From a retrospective study of 50 observations of cord prolapse occurring in the department of obstetrics from January 1985 to June 1994. Results were compared with those reported in the literature.
RESULTS
The frequency of cord prolapse was 0.21% over the 10-year period. Cesarean section was required in 72% of the cases, and obstetrical manoeuvers were used in some of the vaginal deliveries (28%). Neonatal mortality was 20/1000. Predisposing factors were breech presentation, prematurity, twin pregnancy and multiparity.
CONCLUSION
Despite much progress in obstetrics, the frequency of cord prolapse has not changed over time. The consequences are not as lethal as in the past, because of progress in diagnosis and neonatal resuscitation. Fetal prognosis remains however severe.
目的
通过评估脐带脱垂这一产科意外的发生率、发生情况、预后及治疗方法，并分析导致脐带脱垂的相关因素，明确其在现代产科中的作用。
方法
对1985年1月至1994年6月间产科发生的50例脐带脱垂病例进行回顾性研究。将结果与文献报道进行比较。
结果
10年间脐带脱垂的发生率为0.21%。72%的病例需要进行剖宫产，部分阴道分娩（28%）采用了产科手法。新生儿死亡率为20‰。诱发因素包括臀位、早产、双胎妊娠及经产妇。
结论
尽管产科取得了很大进展，但脐带脱垂的发生率并未随时间改变。由于诊断和新生儿复苏技术的进步，其后果不像过去那样致命。然而，胎儿预后仍然严峻。
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