双胎及多胎妊娠选择性减胎研究现状  

Research Status of Selective Fetal Reduction in Twin and Multiple Pregnancy

作　　者：薛靓瑀 

机构地区：[1]西安医学院临床医学院,陕西 西安

出　　处：《临床医学进展》2024年第2期4095-4101,共7页Advances in Clinical Medicine

摘　　要：随着晚婚晚育夫妇和不孕不育患者的增加,辅助生殖技术日益普遍,双胎及多胎妊娠率逐年上升,孕产妇及新生儿的围产期结局却不甚乐观,多胎妊娠减胎术通过减少此次妊娠胎儿数以改善妊娠结局,作为多胎妊娠减少母儿并发症的补救措施。目前多胎妊娠减胎技术愈发成熟,本文通过对既往多胎妊娠减胎病例的报道回顾,针对双胎及多胎妊娠选择性减胎阐述,旨在为临床提供一些科学依据和理论基础。With the increasing prevalence of delayed marriage, late childbearing couples, and infertility pa-tients, assisted reproductive technology is becoming increasingly common. Consequently, the rate of twin and multiple pregnancy has been on the rise year by year. However, the perinatal outcomes for both pregnant women and newborns are not promising. Multiple pregnancy reduction aims to improve these outcomes by reducing the number of fetuses in a pregnancy as a remedy to mitigate maternal and fetal complications associated with multiple pregnancy. Currently, fetal reduction techniques in multiple pregnancy have become more refined. This article reviews the previous re-ports of multiple pregnancy reduction cases, aiming at twin pregnancy and selective reduction of multiple pregnancy, to provide some scientific basis and theoretical foundation for clinical practice.

关 键 词：多胎妊娠 双胎妊娠 减胎术 辅助生殖 妊娠并发症 

分 类 号：R71[医药卫生—妇产科学]