三胎妊娠的产前超声诊断与监测
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摘要
<正>人类自然条件下多胎妊娠发生率较低。近年来,随着人工辅助生殖技术和促排卵药物的应用,全世界范围内多胎妊娠发生率明显增加。多胎妊娠较单胎妊娠围产儿的患病率及死亡率、孕妇围产期合并症及并发症均明显增加。如何对多胎妊娠进行早期诊断及科学监测、及早发现并尽可能解决并发的风险、适时选择分娩时机,已成为产科及超声工作者面临的重大难题。本研究拟探讨三胎妊娠产前超声诊断及监测方法。1 临床资料1.1 对象收集2010年3月—2016年2月在笔
引文
[1] 刘新秀,辜秋阳,庄勇,等.产前超声监测对双胎妊娠并发症的诊断及治疗选择的价值[J].福建医科大学学报,2014,48(4):269-272.
[2] 孙路明,赵扬玉,段涛,等.双胎妊娠临床处理指南(第一部分)-双胎妊娠的孕期监护及处理[J].中华产前诊断杂志(电子版),2015,7(3):1-8.
[3] Lamb D J,Middeldorp C M,Beijsterveldt C E,et al.Birth weight in a large series of triplets[J].BMC Pediatrics,2011,11(1):1-11.
[4] Bolt L A,Morrison K,Shennan A H,et al.The use of fetal fibronectin testing and cervical length measurement in the prediction of delivery of triplet pregnancies[J].Eur J Obstet Gynecol Reprod Biol,2012,164(2):236-237.
[5] Mheen L,Schuit E,Lim A C,et al.Prediction of preterm birth in multiple pregnancies:development of a multivariable model including cervical length measurement at 16 to 21 weeks'gestation[J].J Obstet Gynaecol Can,2014,36(4):309-319.
[6] Mahony R,Mulcahy C,Mcauliffe F,et al.Fetal death in twins[J].Acta Obstet Gynecol Scand,2011,90(11):1274-1280.
[7] Karien E,Marijn E V,Helen L,et al.Perinatal outcome of monochorionic and dichorionic twins after spontaneous and assisted conception:a retrospective cohort study[J].Acta Obstet Gynecol Scand,2018,97(6):717-726.
[8] 孙路明,赵扬玉,段涛,等.双胎妊娠临床处理指南(第二部分)-双胎妊娠并发症的诊治[J].中华产前诊断杂志(电子版),2015,7(4):57-62.
[9] Edwin T,Serene T,George S Y,et al.Fetoscopic laser photocoagulation in twin-to-twin transfusion syndrome:experience from a single institution[J].Singapore Med J,2017,58(6):321-326.
[2] 孙路明,赵扬玉,段涛,等.双胎妊娠临床处理指南(第一部分)-双胎妊娠的孕期监护及处理[J].中华产前诊断杂志(电子版),2015,7(3):1-8.
[3] Lamb D J,Middeldorp C M,Beijsterveldt C E,et al.Birth weight in a large series of triplets[J].BMC Pediatrics,2011,11(1):1-11.
[4] Bolt L A,Morrison K,Shennan A H,et al.The use of fetal fibronectin testing and cervical length measurement in the prediction of delivery of triplet pregnancies[J].Eur J Obstet Gynecol Reprod Biol,2012,164(2):236-237.
[5] Mheen L,Schuit E,Lim A C,et al.Prediction of preterm birth in multiple pregnancies:development of a multivariable model including cervical length measurement at 16 to 21 weeks'gestation[J].J Obstet Gynaecol Can,2014,36(4):309-319.
[6] Mahony R,Mulcahy C,Mcauliffe F,et al.Fetal death in twins[J].Acta Obstet Gynecol Scand,2011,90(11):1274-1280.
[7] Karien E,Marijn E V,Helen L,et al.Perinatal outcome of monochorionic and dichorionic twins after spontaneous and assisted conception:a retrospective cohort study[J].Acta Obstet Gynecol Scand,2018,97(6):717-726.
[8] 孙路明,赵扬玉,段涛,等.双胎妊娠临床处理指南(第二部分)-双胎妊娠并发症的诊治[J].中华产前诊断杂志(电子版),2015,7(4):57-62.
[9] Edwin T,Serene T,George S Y,et al.Fetoscopic laser photocoagulation in twin-to-twin transfusion syndrome:experience from a single institution[J].Singapore Med J,2017,58(6):321-326.