双绒双羊双胎妊娠择期剖宫产时机的思考  

Consideration on the timing of cesarean section in twin pregnancy of dichorionic diamnionic

作　　者：朱莹莹[1] Zhu Yingying(Department of Obstetrics and Gynecology,Nantong Maternal and Child Health Hospital,Nantong 226000,China)

机构地区：[1]南通市妇幼保健院妇产科,江苏南通226000

出　　处：《实用妇科内分泌电子杂志》2023年第5期15-17,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨无并发症双绒双羊双胎妊娠择期剖宫产时机与产后出血及新生儿结局的关系。方法回顾性分析本院择期剖宫产的178例双绒双羊双胎妊娠产妇的临床资料。将择期剖宫产孕周分为孕36~36^(+6)周(63例)、孕37~37^(+6)周(102例)、孕38~39周(13例)三组,比较不同孕周剖宫产母婴并发症及新生儿结局情况。结果不同孕周组之间产后出血、新生儿并发症及结局方面比较,差异无统计学意义(P>0.05)。孕36~36^(+6)周组妊娠合并症或特有疾病所占比例49.21%、数字减影血管造影(DSA)或宫腔球囊或子宫缝合法升级比例9.52%分别与孕37~37^(+6)周组的30.39%、0.98%比较,差异具有统计学意义(P<0.05)。结论加强双胎妊娠管理,及早发现并发症并积极治疗,客观评估终止妊娠时机。Objective To explore the relationship between the timing of elective cesarean section and postpartum hemorrhage and neonatal outcome in dichorionic diamnionic twin pregnancy.Methods Clinical data of 178 pregnant women with double wool and sheep twins who had elective cesarean section in our hospital were retrospectively analyzed.and the gestational weeks of elective cesarean section were divided into three groups:36~36^(+6) weeks(63 cases),37~37^(+6) weeks(102 cases)and 38~39 weeks(13 cases),to compare maternal and infant complications and neonatal outcomes of cesarean section at different gestational weeks.Results There were no significant differences in postpartum hemorrhage,neonatal complications and outcomes among different gestational age groups(P>0.05).The proportion of pregnancy complications or specific diseases in 36~36^(+6) weeks group was 49.21%,the proportion of digital subtraction angiography(DSA)or uterine balloon or uterine suture upgrading was 9.52%,respectively,compared with 30.39%and 0.98%in 37~37^(+6) weeks group,the differences were statistically significant(P<0.05).Conclusion Strengthen the management of twin pregnancy,find out the complications as early as possible and actively treat them,and objectively evaluate the timing of termination of pregnancy.

关 键 词：双绒双羊双胎妊娠 母婴并发症 新生儿结局 

分 类 号：R719.8[医药卫生—妇产科学]