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目的探讨彩色多普勒超声诊断胎儿脐带绕颈的临床价值。方法对870例足月孕妇产前2周行彩色多普勒超声检查,观察胎儿脐带绕颈情况并与产后结果对照分析。结果彩超共诊断186例胎儿脐带绕颈,与产后符合率为95%,误诊率为7.59%。结论彩超能够清楚显示脐带血流,诊断率高,能够有效的指导临床,具有很高的应用价值。同时总结误诊原因,提出改进方法。
Objective To investigate the clinical value of color Doppler ultrasound in the diagnosis of fetal cord around the neck. Methods 870 full-term pregnant women underwent prenatal 2 weeks of prenatal color Doppler ultrasound examination of fetal umbilical cord around the neck and post-mortem results were analyzed. Results A total of 186 cases of fetal cord around the neck were diagnosed by color Doppler ultrasound. The coincidence rate was 95% and the rate of misdiagnosis was 7.59%. Conclusion Color Doppler ultrasound can clearly show the umbilical cord blood flow, the diagnosis rate is high, can effectively guide the clinical, with high application value. At the same time summarizes the reasons for misdiagnosis, put forward improvements.