| 摘要: |
| ［摘要］ 目的 探讨单绒毛膜双胎选择性胎儿生长受限的临床特征及妊娠结局。方法 选取产科2012-08～2014-09收治分娩（≥28周）的单绒毛膜双胎妊娠孕（产）妇124例为研究对象，其中22例选择性胎儿生长受限为实验组，发育正常的102例为对照组，对比两组妊娠期并发症、分娩方式及围生儿预后情况。结果 实验组妊娠期高血压发生率、围生儿死亡率、入住新生儿重症监护室（NICU）率、新生儿轻度窒息率均高于对照组,差异具有统计学意义（P<0.05）。结论 单绒毛膜双胎选择性胎儿生长受限的围生儿死亡率较高，及早发现并加强产前监护，合理干预，能有效改善胎儿及新生儿预后，临床上须引起足够重视。 |
| 关键词: 单绒毛膜双胎 选择性胎儿生长受限 临床特征 妊娠结局 |
| DOI：R 714.43+1 |
| 分类号:R 714.43+1 |
| 基金项目: |
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| Analysis of clinical features and outcomes of pregnancy on monochorionic selective fetal growth restriction |
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LI Yue
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Department of Obstetrics, Maternal and Child Health Hospital Affiliated to Southern Medical University, Shenzhen 518028, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical features and outcomes of pregnancy on monochorionic selective fetal growth restriction.Methods 124 patients with monochorionic twin pregnancy(≥28 weeks) in the obstetrical department of our hospital were collected from August 2012 to September 2014 as the study objects, among which 22 cases with selective fetal growth restriction were taken as the experimental group, and the other 102 developmental normal cases as the control group. The pregnancy complications, mode of delivery and perinatal prognosis situation were compared between the two groups.Results The incidence of pregnancy induced hypertension, perinatal mortality, the occupancy rate of NICU, mild and severe asphyxia of newborn were higher in the experimental group than those in the control group(P<0.05).Conclusion Compared with developmental identity twins, the perinatal mortality of monochorionic selective fetal growth restriction is significantly higher in the early detection of monochorionic twin pregnancies selective intrauterine growth restriction, which indicates that prenatal care and proper intervention can effectively improve the fetus and newborn prognosis. |
| Key words: Monochorionic Selective fetal growth restriction Clinical characteristics Pregnancy outcome |
