引用本文:张泓柳,王小燕,蓝春勇,覃 婷,王文杰,张 冰,李友琼.超声引导下行产前诊断脐静脉穿刺的技巧探讨[J].中国临床新医学,2015,8(11):1071-1073.
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超声引导下行产前诊断脐静脉穿刺的技巧探讨
张泓柳,王小燕,蓝春勇,覃 婷,王文杰,张 冰,李友琼
530021 南宁,广西壮族自治区人民医院医疗外联服务部(张泓柳,蓝春勇),超声科(王小燕,张 冰),产科(覃 婷),产前诊断中心(王文杰),检验科(李友琼)
摘要:
[摘要] 目的 探讨超声引导下行产前诊断脐静脉穿刺技巧,总结穿刺经验,提高成功率,降低并发症发生率。方法 收集176例超声引导下行脐静脉穿刺患者的临床资料并进行统计分析。结果 一次进针穿刺成功率为79.5%(140/176),最终穿刺成功率为94.3%(166/176)。结论 采用超声实时引导,定位准确对提高脐静脉穿刺一次性成功率,减少并发症起决定性作用,是妊娠中晚期产前诊断的有效补救措施。
关键词:  超声引导  脐静脉穿刺术  技巧
DOI:10.3969/j.issn.1674-3806.2015.11.20
分类号:R 445.1
基金项目:
The study on application of precutaneous umbilical blood sampling guided by ultrasound in prenatal diagnosis
ZHANG Hong-liu, WANG Xiao-yan, LAN Chun-yong, et al.
Department of Public Relations, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021,China
Abstract:
[Abstract] Objective To study the skill of fetal umbilical blood sampling guided by ultrasound and summarize the experience of sampling, and to improve the success rate and reduce complications.Methods One hundred and seventy-six clinically suspected abnormal pregnant women were performed the umbilical blood sampling guided by ultrasound. All the data were statistically analyzed.Results The success rate of the first attempt was 79.5%(140/176), and the final success rate was 94.3%(166/176).Conclusion Real-time ultrasound guidance in umbilical blood sampling has the advantage of positioning accuracy, which plays a decisive role in improving the success rate of first attempt and reducing complications of umbilical blood sampling. Umbilical blood sampling is an effective remedy of prenatal diagnosis during the middle-late pregnancy.
Key words:  Ultrasound-guidance  Umbilical blood sampling  Skill