Ultraschall Med. 2017 Aug;38(4):437-442. doi: 10.1055/s-0041-108566. Epub 2015 Nov 3.
To compare the outcome of chorionic villus sampling (CVS) in twin pregnancies following assisted reproduction technology (ART) versus twins that have been conceived spontaneously. Retrospective analysis of dichorionic twin pregnancies that underwent CVS between 1986 and 2013 at our department which is a tertiary center for fetal medicine. 32 twin pregnancies after ART and 130 spontaneously conceived twin pregnancies, which underwent CVS, were analyzed. No difference was observed in the pregnancy loss rate between the two groups (0 % in the ART group vs. 3 % in the spontaneous twins group). The rate of preterm delivery before 28 weeks was higher in the ART group (18.8 %) compared to the control group (1.6 %). The perinatal mortality rate was similar in the two groups. The pregnancy loss rate following CVS is similar in ART twins and in spontaneous twins. However, the risk of prematurity before 28 weeks is significantly higher in the ART group.
比较辅助生殖技术(ART)后双胎妊娠与自然受孕双胎妊娠绒毛膜绒毛取样(CVS)的结局。对 1986 年至 2013 年间在我们的胎儿医学三级中心进行 CVS 的双绒毛膜双胎妊娠进行回顾性分析。分析了 32 例 ART 后双胎妊娠和 130 例自然受孕双胎妊娠。两组妊娠丢失率无差异(ART 组 0%,自然受孕双胎组 3%)。ART 组 28 周前早产率(18.8%)高于对照组(1.6%)。两组围产儿死亡率相似。ART 双胎妊娠和自然受孕双胎妊娠 CVS 后的妊娠丢失率相似。然而,ART 组 28 周前早产的风险明显更高。