摘要
目的探讨复杂性双胎的分类、发生率和预后等。方法回顾性分析2000年1月至2009年12月分娩的617例双胎妊娠中出现双胎之一死胎、双胎之一胎儿畸形、双胎发育不一致等复杂情况,并追踪其预后。结果双胎妊娠中复杂性双胎112例,其中双胎之一死胎28例,双胎发育不一致59例,双胎输血综合征5例,32例双胎胎儿畸形中双胎均胎儿畸形7例,双胎之一胎儿畸形25例(胎儿畸形漏诊5例),其中反向动脉灌注序列征5例,短肢畸形、尿道下裂、神经管畸形各3例,足内翻、并指、肾脏畸形各2例,唇裂、先天性心脏病、单脐动脉、阴茎短小各1例。结论复杂性双胎早产率、各种并发症的发生比例较高,研究组新生儿窒息的发生率明显高于对照组,不仅异常胎儿本身的预后不良,而且由于一胎异常并发羊水过多、前置胎盘、晚期流产、早产等也影响另一胎预后。
Objective To investigate the incidence and outcome on twins and their abnormalities. Methods The 112 cases of sigle fetal abnormalities in 617 women complicated with twin pregnancies were analyzed retrospectively from Jan 2000 to Dec 2009.Results The 112 twins abnormalities included sigle fetal death(n=28),twin to twin confusion sydromes(n=5),sigle fetal growth distress(n=54),sigle fetal demormities(n=25).The 25 twins demormities included TRAP(n=5),short-limbed,Hypospadias,Neural tube defect(n=3),foot turns,Syndactylia kidney defect(n=2),congenital heart defects,Single umbilical artery,short penis(n=1).Conclusion The incidence and Leaks examines are high,development of Prenatal diagnosis and introuterus treatment is essential.The incidences of premature delivery,placenta previa,hydramnion,and are higher than twin pregnancy without abnormalities.Not only the abnormal fetal had a poor pregnosis,but also the pregnant sydromes maybe refect the other fetal's surviving.
出处
《中国产前诊断杂志（电子版）》
2010年第1期34-37,共4页
Chinese Journal of Prenatal Diagnosis(Electronic Version)
