产前双胎输血综合征超声诊断的临床价值  

Clinical value of prenatal ultrasonic diagnosis of twin-twin transfusion syndrome

作　　者：周柳英[1,2] 赵婧[1,2] 陈德新[1,2] 

机构地区：[1]四川省妇幼保健院 [2]四川省妇女儿童医院,四川成都610031

出　　处：《实用医院临床杂志》2010年第3期53-55,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨产前超声在双胎输血综合征(TTTS)预测、诊断、预后等方面的临床价值。方法对1250例双胎进行系统产前超声检查,其中单绒毛膜双胎265例在16～18孕周后每2～4周作1次检查,对TTTS进行预测、诊断及分期;根据超声分期及孕龄对TTTS进行预后评估及宫内治疗方法的选择。结果产前超声诊断TTTS31例,占11.2%;通过宫内治疗,存活21例,存活率67.7%,死亡率32.3%。结论产前TTTS超声诊断及分期,对TTTS及时、有效的宫内治疗,改善预后,具有重要的临床价值。Objective To discuss the clinical value of prenatal ultrasonic diagnosis for twin-twin transfusion syndrome in prediction, diagnosis and prognosis. Methods Systemic prenatal ultrasound exmination was applied to 1250 twins, in which 265 cases of monochorionic twin pregnancy were scanned every 2-4 weeks after 16-18 gestational weeks in order to predict, diagnosis and divide stages for twin-twin transfusion syndrome. According to ultrasonic staging and gestational ages, we evaluated prognosis and selected intrauterine therapy for twin-twin transfusion syndrome. Results Thirty-one cases were diagnosed as twin-twin transfusion syndrome, accounting for 11.7%. By intrauterine treatment, 21 cases were survived, with survival rate of shout 67. 7% and mortality rate of about 32. 3%. Conclusion Prenatal ultrasonic diagnosis and staging of twin-twin transfusion syndrome has important clinical value for immediate and effective intrauterine treatment in order to improve prognosis of twin-twin transfusion syndrome.

关 键 词：双胎输血综合征 超声诊断 产前 

分 类 号：R459.5[医药卫生—治疗学] R595.8[医药卫生—临床医学]