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产前超声检查在双胎妊娠中的临床价值及治疗进展:系统评价。

Clinical Value and Treatment Progress of Prenatal Ultrasonography in Twin Pregnancy: A Systematic Review.

机构信息

Department of Ultrasound, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China.

Department of Ultrasound, City Central Maternal and Child Health Hospital, Leshan 614000, China.

出版信息

Contrast Media Mol Imaging. 2022 Aug 22;2022:6748487. doi: 10.1155/2022/6748487. eCollection 2022.

DOI:10.1155/2022/6748487
PMID:36051930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9424050/
Abstract

Assisted reproductive technology has continued to develop in recent years, the technology has become more and more mature, and it has improved the total gestational age of the population. Assisted reproductive technology has improved twin pregnancy rates with the use of ovulation-inducing drugs. The risk factor of twins is much higher than singletons, and adverse pregnancy outcomes such as stillbirth and premature birth are more likely to occur than singletons, especially the special complications of monochorionic twins (MC), and the neonatal mortality and morbidity are also increased. Prenatal diagnosis and prognosis of twin pregnancy, as well as therapeutic interventions, are of current concern. Ultrasound can realize the understanding of intrauterine growth and development of twin pregnancy fetuses during pregnancy, can more accurately determine gestational age, organ function, and maturity, and timely detect fetal growth and development abnormalities in twin pregnancy, while the prognosis and treatment still need further improvement. The purpose of this study was to investigate the clinical value and treatment progress of prenatal ultrasound monitoring in twin pregnancy.

摘要

近年来,辅助生殖技术不断发展,技术越来越成熟,提高了人口的总孕龄。辅助生殖技术通过使用促排卵药物提高了双胞胎的妊娠率。双胞胎的风险因素比单胎高得多,死产和早产等不良妊娠结局比单胎更常见,尤其是单绒毛膜双胞胎(MC)的特殊并发症,新生儿死亡率和发病率也增加了。双胞胎妊娠的产前诊断和预后以及治疗干预措施是当前关注的焦点。超声检查可以在怀孕期间实现对双胞胎妊娠胎儿宫内生长发育的了解,可以更准确地确定胎龄、器官功能和成熟度,并及时发现双胞胎妊娠中的胎儿生长发育异常,而预后和治疗仍需要进一步改善。本研究旨在探讨产前超声监测在双胞胎妊娠中的临床价值和治疗进展。

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Clinical Value and Treatment Progress of Prenatal Ultrasonography in Twin Pregnancy: A Systematic Review.产前超声检查在双胎妊娠中的临床价值及治疗进展:系统评价。
Contrast Media Mol Imaging. 2022 Aug 22;2022:6748487. doi: 10.1155/2022/6748487. eCollection 2022.
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本文引用的文献

1
The effect of gestational age and cervical length measurements in the prediction of spontaneous preterm birth in twin pregnancies: an individual patient level meta-analysis.在预测双胎妊娠自发性早产中,孕周和宫颈长度测量的效果:一项个体患者水平的荟萃分析。
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Outcomes of emergency or physical examination-indicated cerclage in twin pregnancies compared to singleton pregnancies.比较双胎妊娠与单胎妊娠中急诊或体格检查指征性宫颈环扎术的结局。
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8
Significance of growth discordance in appropriately grown twins.生长不一致在匀称生长双胎中的意义。
Am J Obstet Gynecol. 2013 May;208(5):393.e1-5. doi: 10.1016/j.ajog.2013.01.044. Epub 2013 Jan 28.
9
Twin-twin transfusion syndrome.双胎输血综合征。
Am J Obstet Gynecol. 2013 Jan;208(1):3-18. doi: 10.1016/j.ajog.2012.10.880. Epub 2012 Nov 27.
10
Prospective risk of late stillbirth in monochorionic twins: a regional cohort study.单绒毛膜性双胎中晚期死胎的前瞻性风险:一项区域性队列研究。
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