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[双胎妊娠的超声检查与管理。]

[Ultrasound Examination and Management of Twin Pregnancy.].

作者信息

Chaveeva P, Dimitrov I, Yankova M, Stratieva V, Dimitrov T, Shterev A

出版信息

Akush Ginekol (Sofiia). 2016;55(6):19-25.

Abstract

UNLABELLED

Twin pregnancies are found in about 3 % of all pregnancies and 2/3 are dizygotic and 1/3 are monozygotic. In the last 30 years after the introduction of assisted conception and increasing maternal age the rate of twin pregnancies dramatically increased. Compared to singletons, twins have more complications such as intrauterine demise, intrauterine selective fetal growth reStriction, congenital anomalies, miscarriage and preterm labour. Monochorionic twins are at high risk for unique complications because of blood exchange through vascular communications in the shared placenta. Twin pregnancies should be considered as a high risk pregnancies and the well-being of the two fetuses should be taken into account with a strict protocol for follow up and management options.

CONCLUSION

Ultrasound examination olavs a maior role in fetal surveillance.

摘要

未标注

双胎妊娠约占所有妊娠的3%,其中2/3为双卵双胎,1/3为单卵双胎。在引入辅助生殖技术后的过去30年里,随着产妇年龄的增加,双胎妊娠率显著上升。与单胎妊娠相比,双胎妊娠有更多并发症,如宫内死亡、宫内选择性胎儿生长受限、先天性异常、流产和早产。单绒毛膜双胎由于通过共享胎盘的血管交通进行血液交换,存在独特并发症的高风险。双胎妊娠应被视为高危妊娠,应严格按照随访和管理方案考虑两个胎儿的健康状况。

结论

超声检查在胎儿监测中起主要作用。

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