论文部分内容阅读
目的探讨双胎妊娠绒毛膜性对妊娠并发症及围生儿预后的影响。方法选取在该院定期产检并分娩的116例双胎妊娠产妇为研究对象,其中41例为单绒毛膜(A组),75例为双绒毛膜(B组),比较两组产妇妊娠并发症情况及围生儿预后情况。结果 A组产妇的早产、妊娠期肝内胆汁淤积症(ICP)、羊水过多发生率均显著高于B组(P<0.05);两组产妇的产后出血率、剖宫产率比较差异无统计学意义(P>0.05)。A组围生儿的双胎输血综合征(TTTs)、选择性胎儿宫内生长受限、胎儿发育畸形发生率均显著高于B组(P<0.05)。A组新生儿入住NICU、新生儿窒息、新生儿呼吸窘迫综合征(RDS)、缺血缺氧性脑病(HIE)、持续性动脉导管未闭(PDA)发生率均显著高于B组(P<0.05)。结论双胎妊娠绒毛膜性与围生儿结局和妊娠并发症均有密切联系,单绒毛膜的妊娠并发症发生率更高,其对围生儿的危险性比双绒毛膜更大。
Objective To investigate the impact of twin pregnancy chorionicity on pregnancy complications and perinatal outcome. Methods A total of 116 pregnant women with twin pregnancies who underwent gynecological examinations and deliveries were enrolled. Among them, 41 were single chorion (group A) and 75 were double chorion (group B). Pregnancy complications were compared between the two groups Situation and prognosis of perinatal children. Results The incidence of preterm labor, intrahepatic cholestasis of pregnancy (ICP) and amniotic fluid in pregnancy in group A were significantly higher than those in group B (P <0.05). The postpartum hemorrhage rate and cesarean section rate in the two groups were no significant differences Statistical significance (P> 0.05). A group of twins twin transfusion syndrome (TTTs), selective fetal growth restriction, fetal developmental malformations were significantly higher than the B group (P <0.05). The incidence of neonatal NICU, neonatal asphyxia, neonatal respiratory distress syndrome (RDS), hypoxic-ischemic encephalopathy (HIE) and persistent patent ductus arteriosus (PDA) in group A were significantly higher than those in group B <0.05). Conclusion The twin pregnancy with chorionicity and perinatal outcome and pregnancy complications are closely linked, single chorionic pregnancy complications higher incidence of perinatal children than the double chorion greater.