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多胎妊娠的选择性减胎术。重新审视早期观点。

Selective reduction for multifetal pregnancy. Early opinions revisited.

作者信息

Evans M I, Littman L, Richter R, Richter K, Hume R F

机构信息

Department of Obstetrics and Gynecology, Hutzel Hospital/Wayne State University, Detroit, Michigan 48201, USA.

出版信息

J Reprod Med. 1997 Dec;42(12):771-7.

PMID:9437590
Abstract

Multifetal pregnancy reduction has emerged as a staple of infertility therapy. With increasing utilization of aggressive infertility therapies, thousands of couples have been able to achieve pregnancies who otherwise would not have, but an increasing number and proportion of patients have multifetal pregnancies. Multifetal pregnancy reduction (MFPR) has been shown to be a safe and effective treatment for reducing the number of pregnancies, thereby reducing both perinatal morbidity and mortality in resultant pregnancies. The world experience suggests that the risks of MFPR are directly related to the starting number of fetuses but that in the majority of instances, healthy children can be achieved.

摘要

多胎妊娠减胎术已成为不孕不育治疗的一项主要手段。随着激进的不孕不育治疗方法的使用日益增加,成千上万原本无法怀孕的夫妇得以成功受孕,但多胎妊娠的患者数量及其所占比例也在不断上升。多胎妊娠减胎术(MFPR)已被证明是一种安全有效的治疗方法,可减少妊娠数量,从而降低由此产生的妊娠中围产期发病率和死亡率。全球经验表明,多胎妊娠减胎术的风险与起始胎儿数量直接相关,但在大多数情况下,可以诞下健康的婴儿。

相似文献

1
Selective reduction for multifetal pregnancy. Early opinions revisited.多胎妊娠的选择性减胎术。重新审视早期观点。
J Reprod Med. 1997 Dec;42(12):771-7.
2
International, collaborative experience of 1789 patients having multifetal pregnancy reduction: a plateauing of risks and outcomes.1789例多胎妊娠减胎术患者的国际协作经验:风险与结局趋于平稳
J Soc Gynecol Investig. 1996 Jan-Feb;3(1):23-6. doi: 10.1016/1071-5576(95)00037-2.
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Do reduced multiples do better?减胎术效果更好吗?
Best Pract Res Clin Obstet Gynaecol. 2004 Aug;18(4):601-12. doi: 10.1016/j.bpobgyn.2004.04.019.
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Ethical issues involving multifetal pregnancies.
Mt Sinai J Med. 1998 May;65(3):185-90; discussion 215-23.
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Efficacy of transabdominal multifetal pregnancy reduction: collaborative experience among the world's largest centers.经腹多胎妊娠减胎术的疗效:全球最大中心之间的协作经验
Obstet Gynecol. 1993 Jul;82(1):61-6.
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Pregnancy outcome after multifetal pregnancy reduction.多胎妊娠减胎术后的妊娠结局。
J Matern Fetal Neonatal Med. 2004 Jul;16(1):27-31. doi: 10.1080/14767050410001728962.
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Multifetal pregnancy reduction and selective termination: the Canadian experience.多胎妊娠减胎术与选择性终止妊娠:加拿大的经验
Fetal Diagn Ther. 1999 Nov-Dec;14(6):360-4. doi: 10.1159/000020959.
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Neonatal course and outcome of twins from reduced multifetal pregnancy versus non-reduced twins.减胎多胎妊娠双胎与未减胎双胎的新生儿病程及结局
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Multifetal pregnancy: risks and methods of reduction.多胎妊娠:风险及减胎方法
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[Clinical study of selective multifetal pregnancy reduction in second trimester].孕中期选择性多胎妊娠减胎术的临床研究
Zhonghua Fu Chan Ke Za Zhi. 2007 Mar;42(3):152-6.

引用本文的文献

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Multiple gestations: some public policy issues.多胎妊娠:一些公共政策问题。
Health Care Anal. 2001;9(2):167-85. doi: 10.1023/A:1011334303771.