多胎妊娠孕中期行选择性减胎术13例临床分析
郭艺红;孙莹璞;苏迎春;辛志敏;金海霞;张轶乐;
摘要(Abstract):
<正>多胎妊娠胎儿异常发生率、母体并发症发生率明显高于单胎妊娠,且妊娠预后往往很差。为改善多胎妊娠的预后和结局,近年多胎妊娠减胎术逐渐得到重视,开始用于妊娠的各个阶段。妊娠早期多胎妊娠减胎术国内外报道较多,妊娠中期的选
关键词(KeyWords): 妊娠,多胎;妊娠减少,多胎;妊娠中期;产前诊断
基金项目(Foundation):
作者(Authors): 郭艺红;孙莹璞;苏迎春;辛志敏;金海霞;张轶乐;
DOI: 10.13283/j.cnki.xdfckjz.2008.03.027
参考文献(References):
- [1]苏迎春,孙莹璞,乔玉环,等.选择性减胎术在辅助生育多胎妊娠中的应用[J].生殖医学杂志,2001,10:44-45
- [2]Dechaud H,Picot MC,Hedon B,et al.First-trimester mul- tifetal pregnancy reduction:evalutation of technical aspects and risks from 2756 cases in the literature[J].Fetal Diagn Ther,1998,13:261-265
- [3]孙莹璞,苏迎春,周灿权,等.双胎妊娠一胎畸形行选择性减胎术对妊娠结局的影响[J].中华妇产科杂志,2002,37:232
- [4]王谢桐,李红燕,冯浩,等.多胎妊娠妇女孕中期选择性减胎术的临床应用[J].中华妇产科杂志,2007,42:152- 156
- [5]Evans MI,Goldberg JD,Horenstein J,et al.Selective termi- nation for structural,chromosomal,and mendelian anoma- lies:international experience [J].Am J Obstet Gynecol, 1999,181:893-897
- [6]De CaRe L,Laubach M,Bougatef A,et al.Selective feticide in twin pregnancies with very early preterm premature rup- ture of membranes [J].Am J Perinatol,1998,15:149-153
- [7]Sebire NJ,Snijders RJ,Santiago C,et al.Management of twin pregnancies with fetal trisomies [J].Br J Obstet Gynaecol,1997,104:220-222
- [8]Shalev J,Meizner I,Rabinerson D,et al.Improving preg- nancy outcome in twin gestations with one malformed fetus by postponing selective feticide in the third trimester [J]. Fertil Steril,1999,72:257-260
- [9]罗艳敏,方群,庄广伦.单卵双胎的不同一性[J].中华围产医学杂志,2004,7:312-314
- [10]乐杰.妇产科学[M].第6版.北京:人民卫生出版社,2004:32
- [11]Grau P,Robinson L,Tabsh K,et al.Elevated maternal se- rum alpha-fetoprotein and amniotic fluid alpha-fetoprotein after multifetal pregnancy reduction [J].Obstet Gynecol, 1990,76:1042-1045
- [12]Berkowitz RL,Lynch L.Selective reduction:an unfortu- nate misnomer[J].Obstet Gynecol,1990,75:873-874