Stoll-Simona U, Ingold W, Tanner H
Geburtshilfe Frauenheilkd. 1979 Feb;39(2):147-51.
Between 1964--1978 4 pairs of siamese twin were born among 28,039 deliveries. The incidence was 1 : 7009. Three pairs of siamese twins were delivered vaginally and died during delivery. The fourth patient was delivered by Caesarean section and the infants died a few hours following delivery. Autopsies showed that none of the cases were viable. The problems of the diagnosis and obstetric management of siamese twins are discussed. The antenatal diagnosis is difficult out should ideally be obtained. Vaginal deliveries are difficult and dangerous for the mothers. Caesarean section is the perferred method of delivery. The four personal cases are reviewed.
1964年至1978年间,在28039例分娩中有4对连体双胞胎出生。发病率为1:7009。3对连体双胞胎经阴道分娩并在分娩过程中死亡。第4例患者通过剖宫产分娩,婴儿在出生后数小时死亡。尸检显示所有病例均无法存活。文中讨论了连体双胞胎的诊断和产科处理问题。产前诊断困难,但理想情况下应予以确诊。阴道分娩对母亲来说困难且危险。剖宫产是首选的分娩方式。对这4例个人病例进行了回顾。