2013年全国多中心双胎胎膜早破临床分析

发布时间：2018-03-09 19:36

本文选题：双胎妊娠　切入点：双胎胎膜早破　出处：《中国实用妇科与产科杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨多中心双胎胎膜早破的临床特点及妊娠结局,指导临床对双胎胎膜早破孕期管理。方法选取2013年1月至2013年12月全国不同城市14家医院(中国医科大学附属盛京医院,浙江大学医学院附属妇产科医院,复旦大学附属妇产科医院,同济大学附属第一妇婴保健院,广州医科大学附属第三医院,山东大学附属省立医院,中山大学附属第一医院,重庆医科大学附属第一医院,北京大学第一医院,南京大学医学院附属鼓楼医院,沈阳市妇婴医院,大连市妇产医院,辽阳市第三人民医院,本溪市中心医院)终止妊娠的3343例双胎为研究对象,按照是否并发胎膜早破,分为胎膜早破组468例与非胎膜早破组2875例,比较两组的年龄、孕产次、人工流产次数、受孕方式、终止妊娠孕周、分娩方式及新生儿窒息情况。结果双胎胎膜早破发生率为13.99%,其中未足月胎膜早破占92.09%。双胎胎膜早破组早产发生率84.83%。双胎胎膜早破组的阴式分娩率、流产率、早产率、新生儿窒息率均高于双胎非胎膜早破组(29.91%vs.21.01%,9.61%vs.4.24%,84.83%vs.60.18%,12.16%vs.6.30%)。结论双胎胎膜早破发生率高,易导致流产及早产,围产儿预后差。预防双胎胎膜早破对改善双胎妊娠结局至关重要。
[Abstract]:Objective to investigate the clinical characteristics and pregnancy outcome of premature rupture of membranes in multicentric twins. Methods from January 2013 to December 2013, 14 hospitals in different cities (Shengjing Hospital, China Medical University, affiliated Obstetrics and Gynecology Hospital, Zhejiang University Medical College) were selected. The first Hospital of Obstetrics and Gynecology, the first affiliated Hospital of Tongji University, the third affiliated Hospital of Guangzhou Medical University, the Provincial Hospital of Shandong University, the first affiliated Hospital of Sun Yat-sen University, the first affiliated Hospital of Chongqing Medical University, The study included 3343 twins from the first Hospital of Peking University, the Gulou Hospital affiliated to the Medical College of Nanjing University, the Shenyang Women and infants Hospital, the Dalian Obstetrics and Gynecology Hospital, the third people's Hospital of Liaoyang City, and the Central Hospital of Benxi City). According to whether or not the premature rupture of membranes was complicated, they were divided into 468 cases of premature rupture of membranes group and 2875 cases of non-fetal membrane premature rupture group. The age, the number of pregnancy, the times of induced abortion, the mode of conception, and the termination of gestational weeks were compared between the two groups. Results the incidence of premature rupture of membranes in twins was 13.99, of which premature rupture of unmatured membranes was 92.09. The rate of premature delivery in the group of premature rupture of membranes was 84.83. The rate of vaginal delivery, abortion and premature delivery in the group of premature rupture of membranes of twins was 84.83%, and the rate of premature delivery was 84.83% in the group of premature rupture of fetal membrane, and the rate of premature delivery was 84.83% in the group of premature rupture of membranes. The rate of neonatal asphyxia was higher than that of the twin group (29.91vs.21.01and 9.61vs.4.240.84.83vs.60.18v s.60.18v s.6.300.Conclusion the rate of premature rupture of membranes in twins is high, it is easy to cause abortion and premature delivery, and the prognosis of perinatal infants is poor. It is important to prevent premature rupture of membranes for improving the outcome of twin pregnancy.
【作者单位】：中国医科大学附属盛京医院妇产科;
【分类号】：R714

【相似文献】