Has Recep, Kalelioglu Ibrahim, Corbacioglu Esmer Aytul, Ermis Hayri, Dural Ozlem, Dogan Yasemin, Yasa Cenk, Demir Omer, Yumru Harika, Yildirim Alkan, Ibrahimoglu Lemi, Yuksel Atιl
Department of Obstetrics and Gynecology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Fetal Diagn Ther. 2014;36(3):190-5. doi: 10.1159/000360853. Epub 2014 Jul 26.
To report our experience in selective termination of monochorionic twin pregnancies with bipolar cord coagulation and to analyze the pregnancy outcomes and complications based on the indication of the procedure.
This is a retrospective study of 71 complicated monochorionic pregnancies treated with bipolar cord coagulation between August 2006 and March 2013.
The rates of live birth and survival up to 28 days after birth were 73.2% (52/71) and 63.4% (45/71), respectively. The highest rates of survival up to 28 days after birth were in the procedures with an indication of selective intrauterine growth restriction, while the lowest rates of survival were recorded with the indication of twin reversed arterial perfusion sequence and discordant anomaly. However, there were no statistically significant differences in the live birth and perinatal survival rates among the four different groups of indications.
The survival rate of bipolar cord coagulation in complicated monochorionic pregnancies such as twin-to-twin transfusion syndrome, twin reversed arterial perfusion sequence, selective intrauterine growth restriction and discordant anomaly was 63% in our series.
报告我们使用双极脐带凝固法选择性终止单绒毛膜双胎妊娠的经验，并根据手术指征分析妊娠结局及并发症。
这是一项对2006年8月至2013年3月期间采用双极脐带凝固法治疗的71例复杂单绒毛膜妊娠的回顾性研究。
活产率及出生后28天存活率分别为73.2%（52/71）和63.4%（45/71）。出生后28天存活率最高的手术指征为选择性胎儿生长受限，而双胎反向动脉灌注序列和不一致性畸形的手术指征存活率最低。然而，在四种不同指征组中，活产率和围产儿存活率无统计学显著差异。
在我们的系列研究中，对于双胎输血综合征、双胎反向动脉灌注序列、选择性胎儿生长受限和不一致性畸形等复杂单绒毛膜妊娠，双极脐带凝固法的存活率为63%。
