| 摘要: |
| ［摘要］ 目的 探讨B超引导下羊膜腔穿刺羊水取材术的技巧, 并分析并发症与手术次数、进针次数以及手术体位的关系，为今后的侵入性产前诊断手术提供经验。方法 回顾性分析采用超声引导下羊膜腔穿刺手术406例手术的次数、进针次数、手术体位以及所发生并发症的临床资料。结果 多次进针与一次进针相比，疼痛导致的神经性休克发生率高，晚期流产的发生率亦明显升高，有统计学显著意义（P<0.05）；经历两次手术与一次手术相比，下腹坠胀的发生率明显升高，有统计学显著意义（P<0.05）；平卧位发生仰卧位性低血压明显高于半卧位，有统计学显著意义（P<0.05）。结论 羊膜腔穿刺抽吸羊水手术虽为侵入性有创操作，但只要规范手术的操作、掌握手术的技巧、减少反复操作的次数以及注意手术体位，仍是较为安全的微创性手术。 |
| 关键词: 羊膜腔穿刺 并发症 超声引导 |
| DOI：10.3969/j.issn.1674-3806.2009.10.19 |
| 分类号:R 714.55 |
| 基金项目: |
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| The complications of operation and skill of amniocentesis guided by B ultrasound |
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TIAN Mao, WAN Li-kai
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Obstetrics Department, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To approach the relationship between the times of operation, needling frequency and the body position with complications in the amniocentesis by B ultrasonic-guidance, in other to get the good experience for the future.Methods The retrospective analysis were used for comparing the times of operations, the frequency of needling on one time and the body position with complications about 406 cases of amniocentesis by B ultrasonic-guidance in our hospital.Results The incidence rate of nervous shock induce pain was higher if the needling repeatedly increased than one time, and the percentage of late abortion was obviously high, the difference was highly significant （P<0.05）. The incidence rate of hypogastric vague pain was obviously high when the gestational women undergone two times of amniocentesis than once, the difference were significant （P<0.05）. The incidence rate of postural hypotension was higher when taking supine position than semi-reclining position and the difference was highly significance （P<0.05）. Conclusion Although the amniocentesis is an invasive operation in the gestational diagnosis, but if we operate it according to the routine and correct skill, reducing the times of operation, taking the related body position, the amniocentesis is still a safe micro- traumatic operation. |
| Key words: Amniocentesis Complications Ultrasonic-guidance |
