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双角子宫单角内的双胎妊娠

[Twin gestation in a single horn of a bicornuate uterus].

作者信息

Maagaard Mathilde, Langhoff-Roos Jens

机构信息

Juliane Marie Centret og Obstetrisk Klinik.

出版信息

Ugeskr Laeger. 2009 Mar 9;171(11):907.

Abstract

Bicornuate uterus is associated with early foetal loss and extremely preterm delivery. A patient with dichorionic twins in a single horn of a bicornuate uterus was admitted in week 24 + 6 with preterm labour. Long-term treatment with a combination of tocolytics, atosiban and diclofenac inhibited labour until week 26 + 3 where both babies were born. Both babies are still alive. Longterm tocolytic treatment may be successful in specific cases, but there is no evidence for a general use of long-term tocolysis in preterm labour.

摘要

双角子宫与早期胎儿丢失和极早产相关。一名双角子宫单角内怀有双绒毛膜双胎的患者在孕24 + 6周因早产入院。使用宫缩抑制剂阿托西班和双氯芬酸联合进行长期治疗抑制了宫缩,直至孕26 + 3周时两名婴儿出生。两名婴儿均存活。长期宫缩抑制治疗在特定病例中可能成功,但尚无证据支持在早产中普遍使用长期宫缩抑制治疗。

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