中国实用妇科与产科杂志2012，Vol.28Issue(12)：945-947,3.
单绒毛膜双羊膜囊双胎选择性宫内生长受限围生儿死亡31例高危因素分析
Prenatal ultrasound monitoring in monochorionic diamniotic twin with selective intrauterine growth restriction
林莉 1孙秀荣 1刘涛2
作者信息
- 1. 暨南大学第二临床医学院广东省深圳市人民医院产科,广东深圳518020
- 2. 暨南大学第二临床医学院广东省深圳市人民医院超声科,广东深圳518020
- 折叠
摘要
Abstract
Objective To investigate the clinical significance of prenatal ultrasound parameters in predicting perinatal death in monochorionic diamniotic (MCDA) twin with selective intrauterine growth restriction (sIUGR). Methods 31 cases of MCDA twins with sIUGR who delivered between March 2010 and February 2012 in our hospital were recruited for the study. Cases were categorized in to sIUGR type I , II and III according to the different Doppler patterns of end dias-tolic flow velocity ( EDFV) of the umbilical artery. After diagnosing sIUGR, fetal growth, amniotic fluid, and the EDFV were monitored with ultrasound and Doppler for each case. Results The perinatal death rate was significantly higher in cases with type II Doppler pattern compared with cases with type I pattern (P < 0. 05 ) , and was significantly higher in cases with severe IUGR than cases without (P < 0. 01) . Compared with cases with normal amniotic fluid, cases with oligo-hydramnios had significantly higher perinatal death (P < 0. 05). Conclusion Type II Doppler pattern of the umbilical artery and sever IUGR are the risk factors of perinatal death in MCDA cases with sIUGR.关键词
超声多普勒/单绒毛膜双羊膜囊双胎/选择性宫内生长受限/围生儿死亡Key words
ultrasound Doppler/ monochorionic diamniotic twin/ selective intraulerine growth restriction/ perinatal death分类
医药卫生引用本文复制引用
林莉,孙秀荣,刘涛..单绒毛膜双羊膜囊双胎选择性宫内生长受限围生儿死亡31例高危因素分析[J].中国实用妇科与产科杂志,2012,28(12):945-947,3.
