31例双胎输血综合征的孕期处理及围生结局  

Gestational treatment and perinatal outcome in 31 twin-to-twin transfusion syndrome cases

作　　者：张红霞[1] 刘昱[1] 安莉莉[1] 尹保民[1] 

机构地区：[1]珠海市妇幼保健院产科,519000

出　　处：《中国实用医药》2017年第16期63-64,共2页China Practical Medicine

摘　　要：目的探究双胎输血综合征的孕期处理及围生结局。方法对31例双胎输血综合征患者的临床资料进行回顾性分析。结果 31例患者中,7例选择终止妊娠,4例选择期待疗法,9例选择羊水减量术治疗,11例实施羊膜中隔穿孔治疗;且研究发现,羊膜中隔穿孔治疗患者新生儿存活>30 d的发生率(60.00%)略高于期待疗法患者(33.33%)、羊水减量术患者(42.86%),但组间差异无统计学意义(P>0.05)。结论为提高胎儿存活率,改善围生结局,临床医师应结合双胎输血综合征患者的实际情况为其选择合适的治疗方法。Objective To investigate gestational treatment and perinatal outcome in twin-to-twin transfusion syndrome. Methods A retrospective analysis was made on clinical data of 31 twin-to-twin transfusion syndrome patients. Results Among the 31 patients, there were 7 cases in pregnancy termination, 4 cases in expectant treatment, 9 cases in amniotic fluid reduction treatment, and 11 cases in amniotic septostomy treatment. Research showed that cases in amniotic septostomy treatment had slightly higher incidence of neonatal survival 〉30 d（60.00%） than cases in expectant treatment（33.33%） and amniotic fluid reduction treatment（42.86%）, while their difference had no statistical significance（P〉0.05）. Conclusion In order to improve fetal survival rate and perinatal outcome, clinicians ought to make selection of suitable treatment measure in accordance with practical condition of twin-to-twin transfusion syndrome patients.

关 键 词：双胎输血综合征 孕期处理 围生结局 

分 类 号：R714.2[医药卫生—妇产科学]