Neilson J P
University of Edinburgh, Scotland.
Curr Opin Obstet Gynecol. 1992 Apr;4(2):280-5.
Multiple pregnancy, with its high rate of fetal loss and increasing incidence, merits greater clinical attention and research. Prenatal diagnosis in multiple pregnancy poses particular difficulties in terms of safety and technique of invasive procedures, interpretation of laboratory results, and the human dilemmas produced by the demonstration of discordant abnormality. Recent applications of ultrasound, including Doppler ultrasound, are also discussed in the context of the monochorionic placenta, prediction of preterm labor, and detection of intrauterine growth retardation.
多胎妊娠因其高胎儿丢失率和不断上升的发病率,值得临床给予更多关注和研究。多胎妊娠的产前诊断在侵入性操作的安全性和技术、实验室检查结果的解读以及由不一致异常表现所引发的人为困境方面存在特殊困难。本文还在单绒毛膜胎盘、早产预测以及宫内生长受限检测的背景下讨论了包括多普勒超声在内的超声技术的最新应用。