摘要
目的比较早期与中期多胎妊娠减胎术后妊娠结局。方法选择1999年12月-2010年10月在我院早期和中期多胎妊娠分别行减胎术的患者207例和35例,比较早期与中期减胎手术并发症、妊娠结局、分娩孕周和新生儿出生体重情况。结果早期与中期妊娠减胎术后均无出血、羊水溢漏、术后早期流产、凝血障碍等并发症;二者术后晚期流产率分别为9.36%和3.13%,无统计学差异;新生儿平均出生体重分别为(2.76±0.55)kg和(2.53±0.48)kg;分娩孕周分别为(37.73±1.09)周和(35.44±2.81)周,亦无统计学差异。结论中期妊娠减胎术与早期妊娠减胎术一样可作为避免多胎妊娠出生的一种有效手段,同时中期妊娠减胎术也是一种避免异常胎儿出生的安全、简便、有效方法。
Objective To compare the pregnancy outcome after the first and second-trimester fetal reduction of multiple pregnancies. Methods In December 1999-October 2010 in our hospital there were 207 patients and 35 patients who were performed with the first and second-trimester fetal reduction, respectively. We compared with operation complications, pregnancy outcome, gestational age and newborn child birth weight situation between the early and mid-term reduction operation. Results There was no bleeding,amniotic fluid leakage, postoperative early abortion, coagulation disorder and other complications after the first and second-trimester fetal reduction of multiple pregnancies. After the two reduction operation of multiple pregnancies, the late abortion were 9.36% and 3.13% , no significant difference ; the average birth weight of newborn was （2.76 ± 0.55 ） kg and （2.53 ± 0.48 ） kg ; the gestational age was （ 37.73 ± 1. 09） weeks and （ 35.44 ± 2.81 ） weeks, all no significant difference. Conclusion The second-trimester fetal reduction of multiple pregnancies could be used as an effective means to avoid multiple pregnancy birth as the first trimester fetal reduction of multiple pregnancies and could be used as a safe, simple and effective method to avoid the abnormal fetus were born.
出处
《中华全科医学》
2011年第9期1365-1366,1461,共3页
Chinese Journal of General Practice
关键词
多胎妊娠
早期妊娠减胎
中期妊娠减胎
妊娠结局
Multiple pregnancy
The first trimester fetal reduction
The second trimester fetal reduction
Pregnancy outcome
