双胎妊娠胎儿选择性生长受限终止妊娠时机的分析

目的探讨双胎妊娠胎儿选择性生长受限终止妊娠的时机。方法选取2010年6月至2014年6月在我院活产分娩的60例双胎妊娠产妇为研究对象,将其分成观察组30例(双胎发育一致)和对照组30例(选择性宫内生长受限),分析其妊娠情况。结果两组在妊娠期高血压的发病率、分娩方式、小胎龄出生率、新生儿窒息率、围生儿病死率、入住NICU率等方面相比差异具有显著性(P<0.05)。结论对于双胎妊娠并出现生长受限的情况时,应根据产妇的情况在适当的时间内采取有效的处理方法,但是由于相关频谱检查与预后的关系尚未完全研究清楚,一般建议对于发病严重的,应适时采用选择性减胎术,去除发育相对不良或出现畸形的胎儿。

Twin Pregnancy Fetal Selective Growth Restriction Termination Timing Analysis

Objective To evaluate the selective twin pregnancy fetal growth restriction to terminate pregnancy time. Method Selection in June 2010 to June 2014 in our hospital five-birth deliveries of 60 cases of twin pregnancy women as the research object, the 30 patients were divided into observation group （twins development） and the control group of 30 cases of intrauterine growth restriction （selectivity）, analyze their pregnancies. Results Two groups in the incidence of hypertension during pregnancy, childbirth way, small gestational age, birth rate, newborn asphyxia rate and perinatal mortality, the rate of cheek in NICU, has significant difference compared with （P〈0.05）. Conclusion For twin pregnancy and growth restriction, should be based on the situation of the women at the appropriate time to take effective treatment method, but because of the correlation spectrum examination and prognosis is not fully research clear, general recommendation for the onset of serious, should be timely by selective reduction surgery, remove the development relatively bad or malformation of fetus.