双胎胎儿生长不一致妊娠结局的探讨分析
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【摘要】目的分析探讨双胎胎儿生长不一致的妊娠结局。方法回顾性分析双胎妊娠产妇24例的临床资料。以双胎胎儿体重差>20%为诊断标准, 分为观察组14例和对照组10例(发育一致性), 比较两组间孕妇的一般情况。结果观察组并发围生儿死亡率明显高于对照组(P<0.05)；观察组剖宫产分娩12例(85.7%), 对照组剖宫产分娩8例(80.0%), 两组比较差异无统计学意义(P>0.05)；观察组新生儿入住NICU比率明显高于对照组, 两组比较差异有统计学意义(P<0.05)。观察组并发症发生率高于对照组(P<0.05)。结论发育不一致性双胎妊娠并发症及围生儿患病率和死亡率明显高于发育一致性双胎, 及早发现和处理双胎发育不一致, 是改善胎儿和新生儿预后的关键。
【关键词】胎儿发育；生长不一致；妊娠结局；分析
Clinical observation on perinatal outcome in discordant twin pregnancies WANG Jia-rong. Department of Obstetrics, Dafeng Hospital of Chaoyang District, Shantou 515100, China
【Abstract】ObjectiveTo analyze the perinatal outcomes of growth discordant in twins pregnancy.MethodsA retrospective analysis of clinical data was conducted in 24 cases of twin babies who were admitted in our hospital from January 2011 to January 2014,and the 24 cases were divided groups：observation group(14 cases) and control group(10 cases). Twin pairs whose birth weight difference was 20% or more were designated as discordant twins ......
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