单绒毛膜四羊膜囊四胞胎：超声检查
Monochorionic quadramniotic quadruplets: sonographic workup.
作者信息
Timor-Tritsch I E, Fleischer A, Monteagudo A, Valderrama E
机构信息
Columbia-Presbyterian Medical Center, Sloane Hospital for Women, Department of Obstetrics and Gynecology, New York, NY 10032, USA.
出版信息
Fetal Diagn Ther. 1997 Nov-Dec;12(6):363-7. doi: 10.1159/000264507.
OBJECTIVE
We raise the issue of scanning multifetal pregnancies of higher order as early as possible. A rare case of monochorionic/quadramniotic pregnancy seeking multifetal pregnancy reduction and its clinical management is presented.
METHODS
Transabdominal scanning at 16 weeks was performed correctly diagnosing the monochorionic quadruplet pregnancy.
RESULTS
Suspecting vascular connections between the placentae, the fetal reduction was declined. The patient was delivered at 31 weeks. The 4 female neonates survived with slight ventilatory assistance.
CONCLUSION
Multifetal pregnancies in general, but those of higher order in particular, have to be scanned as early as 8-10 weeks to correctly and easily assign their chorionicity and amnionicity. The case of a monochorionic/quadramniotic pregnancy and its clinical course are presented.
目的
我们提出尽早对高阶多胎妊娠进行超声检查的问题。本文介绍了一例罕见的单绒毛膜/四羊膜囊妊娠寻求多胎妊娠减胎术及其临床处理情况。
方法
在孕16周时进行经腹超声检查，正确诊断出单绒毛膜四胎妊娠。
结果
怀疑胎盘之间存在血管连接，故拒绝减胎。患者于孕31周分娩。4名女婴在轻微通气辅助下存活。
结论
一般而言，多胎妊娠，尤其是高阶多胎妊娠，必须在孕8 - 10周尽早进行超声检查，以便准确且轻松地确定其绒毛膜性和羊膜性。本文介绍了一例单绒毛膜/四羊膜囊妊娠及其临床经过。
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