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| 双胎妊娠一胎宫内死亡34例临床分析 | |
| 引用本文： | 谯小勇,曹曦,邢爱耘. 双胎妊娠一胎宫内死亡34例临床分析[J]. 实用妇产科杂志, 2011, 27(2) |
| 作者姓名： | 谯小勇 曹曦 邢爱耘 |
| 作者单位： | 四川大学华西第二医院,四川成都,610041 |
| 摘 要： | 目的:探讨双胎妊娠一胎宫内死亡的原因、临床处理及预后。方法:回顾性分析2005年1月至2009年12月,我院双胎妊娠一胎宫内死亡34例患者的临床资料。结果:双胎妊娠一胎宫内死亡占我院双胎妊娠的5.2%,34例中单羊膜囊双胎3例,单绒毛膜双胎23例,双绒毛膜双胎8例;及时终止妊娠23例(单羊膜囊双胎均及时终止妊娠),期待治疗11例,平均期待时间单绒毛膜双胎为4.7±5.6周,双绒毛膜双胎为8.6±1.2周;单绒毛膜双胎发现死胎时的孕周、分娩孕周及存活儿的出生体重均小于双绒毛膜双胎。除引产外的30例存活儿发生围生儿死亡6例,随访24例存活新生儿中,2例失访,22例随访中发生脑瘫(四肢瘫,语言障碍)3例,存在其他脑损害(语言或运动发育延迟)4例,余健康存活。结论:单绒毛膜双胎更易发生双胎妊娠一胎宫内死亡,绒毛膜性质和孕周是影响围生儿结局和远期预后的重要因素,存活儿无胎儿窘迫,孕妇无严重妊娠并发症及合并症情况下,期待治疗是一种有效的处理方式。 |
| 关 键 词： | 双胎 妊娠 胎死宫内 期待治疗 |
34 Cases of Twin Pregnancies Complicated by Single Intrautterine Death |
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| QIAO Xiaoyong,CAO Xi,XING Aiyun. 34 Cases of Twin Pregnancies Complicated by Single Intrautterine Death[J]. Journal of Practical Obstetrics and Gynecology, 2011, 27(2) | |
| Authors: | QIAO Xiaoyong CAO Xi XING Aiyun |
| Affiliation: | QIAO Xiaoyong,CAO Xi,XING Aiyun(West China Second University Hospital of Sichuan University,Chengdu Sichuan 610041,China) |
| Abstract: | Objective:To study the causes,clinical management and prognosis of twin pregnancies complicated by single intrauterine death (sIUD). Methods:Retrospective analysis was done in 34 cases of twin pregnancies complicated by sIUD from January 2005 to December 2009 in West China Second University Hospital of Sichuan University. Results:The incidence rate of twin pregnancies complicated by sIUD was 5.2%. There were 3 monoamnionic twins,23 monochorionic twins and 8 dichorionic twin pregnancies complicated by sIUD r... |
| Keywords: | Twin Pregnancy Intrauterine death Expectant treatment |
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