usfdУльтразвуковая и функциональная диагностикаUltrasound & Functional Diagnostics1607-07712408-9494Vidar Ltd.10.24835/1607-0771-2018-1-60-73usfd-167Research ArticleОбзорыReviewsСпонтанный разрыв сосудов пуповины. Возможности ультразвуковой диагностикиSpontaneous rupture of umbilical cord. Value of ultrasoundЕсиповаИрина АндреевнаEsipovaI. A.esipova.ira@inbox.ruХитраяВ. А.KhitrayaV. A.noemail@neicon.ruФГБОУ ВО “Российский национальный исследовательский медицинский университет имени Н.И. Пирогова”РоссияPirogov Russian National Research Medical UniversityRussian Federation201828032024016073Copyright © Есипова И.А., Хитрая В.А., 20242024Есипова И.А., Хитрая В.А.Esipova I.A., Khitraya V.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://usfd.vidar.ru/jour/article/view/167

Разрыв сосудов пуповины является редким событием, связанным с высоким риском неврологических осложнений и гибелью плода. Осложнения могут возникать антенатально или интранатально и обычно являются острыми состояниями, требующими немедленного родоразрешения для предотвращения гибели плода. Представлены три случая антенатального выявления разрыва сосудов пуповины при помощи ультразвукового исследования. Во всех случаях по данным гистологии были выявлены изменения пуповины (линейный разрыв, воспалительные изменения стенки сосудов), подтверждающие не только эхографически поставленный предоперационный диагноз, но и сопутствующий инфекционный внутриутробный фактор. При изучении данных обзора литературы и результатов собственных наблюдений были выделены критерии, позволяющие заподозрить наличие разрыва сосудов пуповины.

Umbilical cord rupture is a rare condition, associated with a high risk of fetal neurological complications and death. Complications are usually acute conditions, occur during antenatal or intranatal period and require urgent delivery for fetal death prevention. Three cases of antenatal ultrasound detection of umbilical cord rupture were presented. The histological changes of umbilical cord (linear rupture, vessel wall inflammatory changes) were found in all cases that confirmed the results of the preoperative ultrasound examination and the presence of concomitant intrauterine infection. After analysis of own data and literature review the criteria for an umbilical cord rupture suspicion were identified.

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The authors declare that there are no conflicts of interest present.