131例多胎妊娠减胎术报告。
A report of 131 cases of multifetal pregnancy reduction.
作者信息
Tabsh K M
机构信息
Department of Obstetrics and Gynecology, University of California, Los Angeles School of Medicine.
出版信息
Obstet Gynecol. 1993 Jul;82(1):57-60.
OBJECTIVE
To evaluate multifetal pregnancy reduction as a treatment for patients seeking to reduce the risks of multiple gestation.
METHODS
One hundred thirty-one women had transabdominal multifetal pregnancy reduction performed by a single practitioner; 103 have delivered.
RESULTS
Multifetal pregnancy reduction was associated with a 7% pregnancy loss rate and no losses within the first 4 weeks after the procedure. The mean gestational age at delivery overall was 35.5 weeks. The mean gestational age at delivery for singletons was 37.5 weeks, for twins 35.5 weeks, and for triplets 35 weeks. The incidence of maternal and fetal complications was no more than that previously reported for nonreduced multiple gestations.
CONCLUSIONS
Multifetal pregnancy reduction is a safe option for patients who desire to reduce the risks of multiple gestation. The ultimate successful outcome of reduced pregnancies may be enhanced by extensive experience with the procedure.
目的
评估多胎妊娠减胎术作为一种降低多胎妊娠风险的治疗方法。
方法
131名妇女由一名医生进行经腹多胎妊娠减胎术；103名已分娩。
结果
多胎妊娠减胎术的妊娠丢失率为7%，术后前4周内无妊娠丢失。总体分娩时的平均孕周为35.5周。单胎分娩时的平均孕周为37.5周，双胎为35.5周，三胎为35周。母婴并发症的发生率不高于之前报道的未减胎的多胎妊娠。
结论
对于希望降低多胎妊娠风险的患者，多胎妊娠减胎术是一种安全的选择。丰富的手术经验可能会提高减胎后妊娠的最终成功结局。
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