摘要
目的：研究多胎妊娠孕妇在孕9～10周行阴道B超引导下选择性减胎术后的妊娠结局。方法：2009年4月～2010年5月同济医学院生殖中心15例多胎妊娠孕妇于孕9～10周行阴道B超引导下选择性减胎术。经减胎处理后,观察孕妇阴道出血、发热、流产率及产科结局等情况,并与2000年8月～2007年12月期间在同济医学院生殖中心于孕6～8周行减胎术的155例多胎妊娠孕妇比较流产率有无差异。结果：孕9～10周减胎者中出现7例阴道出血、5例发热、1例早期流产、7例晚期流产、7例活产分娩,流产率（53.33%）显著高于孕6～8周减胎者（18.71%）,差异有统计学意义（P〈0.05）。结论：孕9～10周行减胎术后孕妇易流产,多胎妊娠孕妇应尽早在孕6～8周实行减胎术。
Objective： To research the pregnancy outcome of muhiple pregnancy reduction under transvaginal B - ultrasound guid- ance during 9 - 10 gestational weeks. Methods： Selective multiple preguancy reduction was performed in 15 pregnant women during 9 - 10 gestational weeks （ study group） in Reproductive center of Tongji Medical College from April 2009 to May 2010 ; the vaginal bleeding, fever, abortion rate and obstetrical outcome were observed; 155 pregnant women receiving selective muhiple pregnancy reduction during 6 -8 gesta- tional weeks in Reproductive center of Tongji Medical College from August 2000 to December 2007 were selected as control group ; the abor- tion rates in the two groups were compared. Results： In study group, 7 women with vaginal bleeding, 5 women with fever, one woman with early abortion, 7 women with late abortion and 7 women of live birth were found, the abortion rate in study group was 53.33% , which was statistically significantly higher than that in control group （P 〈 0. 05 ） . Conclusion ： Abortion easily occurs in pregnant women receiving multiple pregnancy reduction during 9 - 10 gestational weeks, multiple pregnancy reduction should be performed during 6 - 8 gestational weeks as early as possible.
出处
《中国妇幼保健》
CAS
北大核心
2014年第15期2396-2398,共3页
Maternal and Child Health Care of China
关键词
多胎妊娠减胎
减胎时机
不良结局
流产
Multiple pregnancy reduction
Opportunity of pregnancy reduction
Adverse outcome
Abortion
