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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Is neonatal risk from vasa previa preventable? The 20-year experience from a single medical center.
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Is neonatal risk from vasa previa preventable? The 20-year experience from a single medical center.

机译：预防静脉输液的新生儿风险是否可以预防？来自单一医疗中心的20年经验。

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BACKGROUND: Vasa previa is a rare condition associated with neonatal morbidity and mortality that may be diagnosed prenatally using transvaginal sonography. The aim of this study was to assess the prenatal detection of vasa previa and its subsequent impact on neonatal outcomes in two 10-year periods (1988-1997 versus 1998-2007). METHOD: Retrospective review of all cases of vasa previa. Data on obstetrical history, modes of conception, sonographic scans, delivery mode, and neonatal outcome were retrieved and recorded. RESULT: There were 19 pregnancies (21 neonates) with confirmed vasa previa (overall incidence of 1.7/10,000 deliveries). Vasa previa were diagnosed prenatally in 10 (52.6%) cases. In cases without prenatal diagnosis, there was a higher proportion of neonates with 1' Apgar score < or = 5 and cord blood pH <7 compared with cases diagnosed prenatally (66.7% versus 10%, p < or = 0.05, and 33.3% versus 0%, p < 0.05, respectively). The prenatal detection rate of vasa previa increased from 25 to 60% between the 2 time periods (p > 0.05), whereas perinatal mortality and 1' Apgar scores < or = 5 decreased from 25 to 0% and from 50 to 33.3% (p > 0.05). CONCLUSION: Prenatal sonographic screening using targeted scans for vasa previa in women at risk or as part of routine mid-gestation scanning may significantly impact its obstetric manifestations.
机译：背景：瓦萨前静脉血栓是一种罕见的疾病，与新生儿发病率和死亡率相关，可以通过经阴道超声检查在产前进行诊断。这项研究的目的是评估在两个10年的时间段（1988-1997年与1998-2007年）中，静脉前血管的产前检测及其对新生儿预后的影响。方法：回顾性分析所有vasa previa病例。检索并记录有关产科史，受孕方式，超声检查，分娩方式和新生儿结局的数据。结果：有19例妊娠（21例新生儿）确诊为vasa previa（总分娩率为1.7 / 10,000分娩）。 Vasa previa在产前诊断为10（52.6％）例。在没有产前诊断的情况下，与产前诊断的病例相比，'1'Apgar评分<或= 5，脐带血pH <7的新生儿比例更高（66.7％比10％，p <或= 0.05，33.3％比分别为0％，p <0.05）。在两个时间段内，前腔静脉的产前检测率从25％增加到60％（p> 0.05），而围产期死亡率和1'Apgar得分<或= 5从25％降低到0％，从50％降低到33.3％（p > 0.05）。结论：在有风险的妇女中，或作为常规的中期妊娠扫描的一部分，使用针对性的静脉输卵管造影术进行产前超声检查可能会显着影响其产科表现。

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