超声引导中期多胎妊娠减至双胎的安全性分析

发布时间：2018-02-05 01:33

本文关键词： 妊娠减少多胎超声检查产前超声引导　出处：《中国医学影像学杂志》2015年03期 　论文类型：期刊论文

【摘要】：目的探讨超声引导下将中期多胎妊娠减至双胎的安全性,以检验该方法的可行性。资料与方法 43例接受胚胎移植的孕妇按照是否行减胎术分为:减胎组16例,于妊娠中期在超声引导下行减胎术、将多胎妊娠减至双胎;非减胎组27例,为双胎妊娠孕妇。比较两组孕妇妊娠结局的差异。结果减胎组中,1例疑似宫内感染流产,1例已分娩者于减胎后2 d内保留胎儿之一死亡,其余14例已分娩8例,6例仍在妊娠中;截止至2014年6月11日共获得17名新生儿,无新生儿死亡及畸形。非减胎组中,1例自然流产,2例已分娩者出现双胎之一停育,其余24例全部分娩;共获得50名新生儿,新生儿畸形3名,无新生儿死亡。两组在出生孕周、新生儿体重、母婴并发症等方面差异均无统计学意义(P0.05)。结论将多胎减至双胎改善了妊娠结局,与未减胎双胎相比,两者妊娠结局无显著差异,可以认为妊娠中期将多胎减至双胎安全可行。
[Abstract]:Objective to investigate the safety of ultrasound guided multiple pregnancy reduction to twin pregnancy, and to test the feasibility of this method. Materials and methods 43 pregnant women undergoing embryo transfer were divided into two groups according to whether or not to undergo fetal reduction. In the second trimester of pregnancy, the multiple pregnancy was reduced to twins under the guidance of ultrasound, and 27 cases in the non-reduction group. Results one case of suspected intrauterine infection abortion and one case of delivery had died within 2 days after pregnancy reduction, and the other 14 cases had delivered 8 cases or 6 cases were still in pregnancy. As of June 11th 2014, a total of 17 newborns had been obtained, with no neonatal death or malformation. In the non-reduced group, 1 case of spontaneous abortion and 2 cases of spontaneous abortion had stopped giving birth, while the remaining 24 cases had all given birth; a total of 50 newborns were born. There were 3 cases of neonatal malformation and no neonatal death. There was no significant difference between the two groups in gestational week, weight of newborn and complications of mother and child. Conclusion reducing the number of multiple twins to twins improves the outcome of pregnancy, and compared with that of unreduced twins, there is no significant difference between the two groups. There is no significant difference in pregnancy outcome between the two groups, so it is safe and feasible to reduce the number of multiple pregnancies to twins in the second trimester of pregnancy.
【作者单位】：解放军总医院超声诊断科;
【分类号】：R714.23;R445.1
【正文快照】： 李晨LI Chen汪龙霞WANG Longxia王萍平WANG Pingping郭翠霞GUO Cuixia通讯作者汪龙霞Department of Ultrasound,Chinese PLAGeneral Hospital,Beijing 100853,ChinaAddress Correspondence to:WANG LongxiaE-mail:13693685342@163.comR714.23;R445.1修回日期:2015-01-22中国医

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