Sau Ashis, El-Matary Atef, Newton Lyn, Wickramarachchi D C Jagat
Department of Obstetrics and Gynecology, University Hospital Lewisham, London, UK.
Acta Obstet Gynecol Scand. 2009;88(4):475-8. doi: 10.1080/00016340902763228.
The aim of this retrospective study was to find out the effect of change in the management of red cell alloimmunized pregnancies from conventional method of amniocentesis to the Doppler assessment of middle cerebral artery peak systolic velocity (MCA-PSV). There were 29 alloimmunized pregnancies affected by red cell antibodies. Ten cases were managed by amniocentesis and another 19 were managed by MCA-PSV measurements. The antenatal management and perinatal outcome of both groups are presented. This study suggests that the non-invasive monitoring should be the method of choice to monitor alloimmunized pregnancies.
这项回顾性研究的目的是找出红细胞同种免疫妊娠的管理方式从传统羊膜穿刺术改为经颅多普勒评估大脑中动脉收缩期峰值流速(MCA-PSV)后的效果。有29例受红细胞抗体影响的同种免疫妊娠。其中10例采用羊膜穿刺术管理,另外19例采用MCA-PSV测量管理。本文呈现了两组的产前管理情况和围产期结局。该研究表明,非侵入性监测应作为监测同种免疫妊娠的首选方法。