羊水穿刺有什么风险

2018-12-04 16:08 阅读: 编辑: 来源:网络
标签: 羊水穿刺
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内容简介:羊水穿刺术又称为羊膜腔穿刺术,是现代医学常用的一种产前诊断技术。在超声波的引导下,将一根细长的针经过肚皮穿进孕妇的羊膜腔抽取大约20ml的羊水,这个过程就是羊水穿刺。由于是羊水穿刺具有侵入性,因此就有一定的风险。

羊水穿刺术又称为羊膜腔穿刺术,是现代医学常用的一种产前诊断技术。在超声波的引导下,将一根细长的针经过肚皮穿进孕妇的羊膜腔抽取大约20ml的羊水,这个过程就是羊水穿刺。由于是羊水穿刺具有侵入性,因此就有一定的风险。  

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一、造成感染  

如果孕妇本身存在感染,那么在羊水穿刺的时候就有可能把细菌带入羊膜腔中,引起羊膜腔内感染,造成高热、子宫收缩、腹痛等情况,不过这种情况很少见,发生几率很小。而且现在的手术室都会严格进行无菌操作,并使用最细的针,将术中感染的可能性降到最低。  

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二、胎膜破裂  

羊水穿刺后可能会出现胎膜破裂,如果胎膜破裂就会出现羊水渗漏的现象,其症状是阴道无意识地,不能控制地,持续性地流出无色透明的液体。如果持续羊水渗漏,羊水量会减少,势必影响胎儿的生长发育。但是羊水渗漏需要注意与白带及漏尿相区分。  

三、阴道出血  

有少数的孕妇会在羊水穿刺后出现阴道出血的症状,可能会持续几天,一般在休息或经过安胎治疗后就会得到缓解。  

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四、流产  

羊水穿刺最大的风险就是流产,其发生率为0.3%-0.5%,概率是比较低的。如果羊水穿刺造成孕妇羊膜腔炎或者胎膜早破,则可能导致流产。虽然可能会流产,但是这一概率不仅和孕妇本身的体质以及孕周有关,也与执行羊水穿刺的医生和超声医生的经验有关。因此,如果必须做羊水穿刺术,建议尽量到大医院,找经验丰富的医生做手术,最大地避免流产的风险。  

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五、羊水培养失败  

在羊水抽出后进行细胞培养时,也可能会培养失败。影响羊水培养的因素有很多,比如羊水比较浑浊,使得细胞不易生长,或者是细胞质量不好,还有可能与穿刺的时间长短有关。如果羊水培养失败,可能会需要进行第二次羊水穿刺术。  

虽然羊水穿刺术有风险,但是羊水穿刺是产前诊断的金标准,而且随着科技和临床技术水平的不断提高,目前羊水穿刺的安全系数已经大大提高了。所以,对于医生诊断必须通过羊水穿刺来排除胎儿的各种异常情况的孕妇,不需要太过担心。

标签: 羊水穿刺
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