【摘要】：目的調(diào)查我國(guó)單羊膜囊雙胎妊娠(MMP)病例的特點(diǎn),反映現(xiàn)存臨床處理風(fēng)險(xiǎn),積累診治經(jīng)驗(yàn),以期為MMP的臨床處理提供參考。方法回顧2013年該院收治的1例足月單羊膜囊雙胎病例資料,結(jié)合2000年~2015年在相關(guān)期刊論文、維普數(shù)據(jù)庫(kù)及萬(wàn)方數(shù)據(jù)庫(kù)檢索到的孕齡≥28周MMP相關(guān)文獻(xiàn)37篇(包括本院1例,共57例)的資料,綜合分析我國(guó)目前MMP臨床病例孕周分布、分娩時(shí)間和分娩方式對(duì)妊娠結(jié)局的影響。結(jié)果納入調(diào)查的57例病例中,總圍產(chǎn)兒死亡率為28.95%,70.18%的病例孕齡在34周以上。將孕周劃分為28周~31+6周、32周~33+6周、34周~36+6周和≥37周4個(gè)階段,妊娠不良結(jié)局率分別為62.5%、22.2%、66.7%和36.4%,各孕齡階段妊娠結(jié)局差異無(wú)統(tǒng)計(jì)學(xué)意義(P=0.079)。57例MMP病例中,剖宮產(chǎn)分娩占59.65%,陰道分娩占40.35%,剖宮產(chǎn)和陰道分娩妊娠不良結(jié)局率分別為47.1%和47.8%,分娩方式與妊娠結(jié)局差異無(wú)統(tǒng)計(jì)學(xué)意義(P=0.995)。結(jié)論 MMP妊娠不良結(jié)局發(fā)生率高,根據(jù)具體情況可行期待治療至34周后終止妊娠,建議選擇性剖宮產(chǎn)改善妊娠結(jié)局,建立規(guī)范的MMP管理流程是降低圍產(chǎn)兒死亡率的關(guān)鍵。
[Abstract]:Objective to investigate the characteristics of single amniotic sac twin pregnancy (MMP) cases in China, to reflect the existing risk of clinical management, to accumulate experience in diagnosis and treatment, and to provide reference for the clinical management of MMP. Methods A full term single amniotic sac twin case was reviewed in our hospital in 2013, which was combined with the full text database of Chinese Journal from 2000 to 2015. 37 articles of MMP related to gestational age 鈮，

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