本文選題：多胎妊娠　切入點(diǎn)：選擇性　出處：《實(shí)用婦產(chǎn)科雜志》2017年07期 　論文類型：期刊論文

【摘要】：目的:分析多胎妊娠選擇性減胎術(shù)后的圍生結(jié)局。方法:回顧性分析2012年1月至2015年9月間173例多胎妊娠孕婦在廣州醫(yī)科大學(xué)附屬第三醫(yī)院胎兒醫(yī)學(xué)中心通過經(jīng)腹胎兒心內(nèi)注射氯化鉀(KCL)減胎術(shù)或射頻消融(RFA)減胎術(shù)將多胎妊娠減至單胎或雙胎的臨床資料,分析減胎術(shù)后的圍生結(jié)局。結(jié)果:KCL減胎術(shù)121例,術(shù)后流產(chǎn)率為10.0%,圍生兒存活率89.2%。孕早期的流產(chǎn)率、≤34周早產(chǎn)率與孕中期比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);保留單胎的分娩孕周較保留雙胎的延長約2周(37.96±2.65周vs 35.93±2.19周)且新生兒體質(zhì)量更重(2.91±0.55 kg vs 2.51±0.44kg),差異有統(tǒng)計(jì)學(xué)意義(P0.05)。RFA減胎術(shù)52例,術(shù)后圍生兒存活率為71.2%。雙胎輸血綜合征(TTTS)、選擇性胎兒生長受限(s FGR)、雙胎反向灌注序列綜合征(TRAPs)、雙胎之一結(jié)構(gòu)或遺傳異常術(shù)后的存活率分別為68.2%、83.3%、100.0%、53.8%。結(jié)論:KCL減胎術(shù)可在孕早中期進(jìn)行,減至單胎可能更有益于圍生結(jié)局。RFA減胎術(shù)中s FGR和TRAPs術(shù)后的存活率較高。選擇性減胎術(shù)對改善多胎妊娠的圍生結(jié)局有益。
[Abstract]:Objective: to analyze the perinatal outcome of multiple pregnancy after selective fetal reduction. Methods: from January 2012 to September 2015, 173 pregnant women with multiple pregnancies were analyzed in the fetal medical center of the third affiliated hospital of Guangzhou medical university. Clinical data of intracardiac injection of KCLL or radiofrequency ablation (RFA) for reducing multiple pregnancies to single or twin pregnancies. Results the abortion rate was 10.0 and the perinatal survival rate was 89.2.The abortion rate in early pregnancy, 鈮，

本文編號(hào)：1565120