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目的探究双胎输血综合征的孕期处理及围生结局。方法对31例双胎输血综合征患者的临床资料进行回顾性分析。结果 31例患者中,7例选择终止妊娠,4例选择期待疗法,9例选择羊水减量术治疗,11例实施羊膜中隔穿孔治疗;且研究发现,羊膜中隔穿孔治疗患者新生儿存活>30 d的发生率(60.00%)略高于期待疗法患者(33.33%)、羊水减量术患者(42.86%),但组间差异无统计学意义(P>0.05)。结论为提高胎儿存活率,改善围生结局,临床医师应结合双胎输血综合征患者的实际情况为其选择合适的治疗方法。
Objective To investigate the treatment and perinatal outcome of twins transfusion syndrome during pregnancy. Methods The clinical data of 31 patients with twin blood transfusion syndrome were retrospectively analyzed. Results Among the 31 patients, 7 patients chose termination of pregnancy, 4 patients were treated with expectant therapy, 9 patients were treated with amniotic fluid reduction and 11 patients were treated with amniotic septal perforation. The study also found that survival of neonates with amniotic septal perforation was> The incidence of 30 days (60.00%) was slightly higher than that of expectant patients (33.33%) and amniotic fluid less patients (42.86%), but there was no significant difference between the two groups (P> 0.05). Conclusion To improve fetal survival rate and improve perinatal outcome, clinicians should choose appropriate treatment for patients with twin syphilis syndrome.