论文部分内容阅读
目的分析双胎妊娠双胎之一宫内死亡(s IUFD)母儿预后情况及相关影响因素。方法回顾分析56例双胎妊娠一胎宫内死亡病例的临床资料。结果 s IUFD发生率为11.57%(56/484),其中单卵双胎24例,双卵双胎32例。存活新生儿体重为1150~2870 g,平均体重(2290±366)g,其中48例未发生新生儿窒息,6例轻度窒息,2例重度窒息。死胎原因包括胎盘早剥14例、脐带扭转10例,胎儿畸形8例,染色体异常2例,双胎输血综合症6例,原因不明16例。母儿结局:流产11例,早产21例,足月产24例。围生儿6例死亡,小于胎龄儿2例。结论 s IUFD的处理办法和终止妊娠的时间仍无统一定论,发生s IUFD时应当加强监测,根据个体情况选择合适的治疗方式,是改善母婴结局的有效方式。
Objective To analyze the prognosis and related factors of intrauterine death (sUFD) in twin twins. Methods The clinical data of 56 cases of intrauterine death of one fetus with twin pregnancy were retrospectively analyzed. Results The incidence of sUFD was 11.57% (56/484), including 24 cases of monozygotic twins and 32 cases of twins. Survival of newborns weighing 1150 ~ 2870 g, average body weight (2290 ± 366) g, of which 48 cases of neonatal asphyxia, mild asphyxia 6 cases, 2 cases of severe asphyxia. Causes of stillbirth include placental abruption in 14 cases, umbilical cord twisting in 10 cases, fetal malformation in 8 cases, chromosomal abnormalities in 2 cases, twin twin transfusion syndrome in 6 cases, unexplained 16 cases. Maternal and child outcomes: 11 cases of abortion, premature birth in 21 cases, 24 cases of full-term. 6 cases of perinatal death, less than 2 gestational age children. Conclusions The treatment of sIUFD and the time of termination of pregnancy are still inconclusive. Surveillance should be strengthened when sIUFD occurs. Choosing the appropriate treatment according to individual circumstances is an effective way to improve maternal and child outcomes.