IVF-ET术后产前诊断发现双胎之一畸形行减胎术探讨
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摘要
目的探讨IVF-ET术后双胎之一畸形减胎术。方法收集就诊于本中心2018年1月至2018年10月期间4例IVFET术后双胎之一畸形减胎术患者的临床资料并进行回顾性分析。结果 4例患者均为一次减胎成功。新生儿均为活产,现均体健。结论在双胎妊娠中期,实施经腹超声引导下对双胎妊娠进行减胎是一种较为安全、可靠的技术,也是提高我国人口质量的重要方式。
Objective:To investigate the reduction of fetal malformation after IVF-ET. Methods:The clinical data of 4 cases of one twin deformity after IVF-ET from January 2018 to October 2018 were collected and analyzed retrospectively. Results:All 4 patients were successful in one reduction. All newborns are live births. Conclusion:In the second trimester of twin pregnancy,the application of transabdominal ultrasound-guided reduction of twin pregnancy is a relatively safe and reliable technology,but also an important way to improve the quality of our population.
Objective:To investigate the reduction of fetal malformation after IVF-ET. Methods:The clinical data of 4 cases of one twin deformity after IVF-ET from January 2018 to October 2018 were collected and analyzed retrospectively. Results:All 4 patients were successful in one reduction. All newborns are live births. Conclusion:In the second trimester of twin pregnancy,the application of transabdominal ultrasound-guided reduction of twin pregnancy is a relatively safe and reliable technology,but also an important way to improve the quality of our population.
引文
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[11]Rochon M,Stone J.Invasive procedures in multiple gestations[J].Curr Opin Obstet Gynecol,2003,15(2):167-175.
[12]Corado F,Gannata ML,La Galia T,et al.Pregnancy outcome following mid-trimester amniocentesis[J].J Obstet Gynaecol,2012,32(2):117-119.
[2]张静,李红燕,王谢桐,等.多胎妊娠孕中期减至双胎与初始双胎妊娠的妊娠结局比较[J].中华妇产科杂志,2011,12:901-904.
[3]李满超,艾细雄,梁晓燕.IVF-ET后双绒毛膜双羊膜囊双胎妊娠经腹部减胎术后的妊娠结局分析[J].国际生殖健康/计划生育杂志,2018,1:54-56.
[4]孟庆霞,吴惠华,李建芬,等.选择性减胎可以明显改善多胎妊娠的临床妊娠结局[J].生殖医学杂志,2017,10:1035-1040.
[5]刘艳,王谢桐,李红燕,等.多胎妊娠选择性减胎术的时机对妊娠结局的影响[J].中华围产医学杂志,2012,10:605-609.
[6]李善玲,王谢桐,李红燕,等.对三胎妊娠孕妇实施减胎术后双胎或单胎的妊娠结局及流产发生风险的分析[J].中华妇产科杂志,2015,4:268-273.
[7]Obican S,Brock C,Berkowitz R,et al.Multifetal pregnacy reduction[J].Clin Obstet Gynecol,2015,58(3):574-584.
[8]Evans MI,Berkowitz RL,Wapner RJ,et al.Improvement in outcomes of multifetal pregnacy reduction with increased experience[J].Am J Obstet Gynecol,2001,184(2):97-103.
[9]Stone J,Ferrara L,Kamrath J,et al.Contemporary outcomes with the latest 1000 cases of multifetal pregnacy reduction(MPR)[J].Am J Obstet Gynecol,2008,199(4):406.el-4.
[10]Bigelow CA,Factor SH,Moshier E,et al.Timing of and outcomes after selective termination of anomalous fetuses in dichorionic twin pregnancies[J].Prenat Diagn,2014,34(13):1320-1325.
[11]Rochon M,Stone J.Invasive procedures in multiple gestations[J].Curr Opin Obstet Gynecol,2003,15(2):167-175.
[12]Corado F,Gannata ML,La Galia T,et al.Pregnancy outcome following mid-trimester amniocentesis[J].J Obstet Gynaecol,2012,32(2):117-119.