论文部分内容阅读
目的探讨多胎妊娠早期选择性减胎术的手术方法和心理干预对结局的影响。方法选择因多胎妊娠行减胎术的患者57例,均在孕7-10周间采用胚胎抽吸法和自制钢丝绞杀加胚胎抽吸法。同时行术前后的心理疏导。结果 57例患者中流产8例,早产5例,足月产26例,18例正在妊娠中,31例分娩出婴儿56个,均为正常新生儿。结论多胎妊娠孕早期经阴道行减胎术安全、有效、操作简单,同时行心理干预可改善母婴预后,获得好的妊娠结局。
Objective To investigate the surgical methods and psychological interventions on the outcome of selective fetal abortion in early stage of multiple pregnancy. Methods Fifty-seven patients undergoing multiple placental abortion were treated with embryo aspiration and homemade wire strangulation plus embryo aspiration at 7-10 weeks gestation. At the same time before and after the psychological counseling. Results Among the 57 patients, 8 were aborted, 5 were premature, 26 were full-term, 18 were pregnant, and 31 were delivered with 56 infants, all of whom were normal newborns. Conclusions Transvaginal line reduction in multiple pregnancy during early pregnancy is safe, effective and easy to operate. At the same time, psychological intervention can improve the prognosis of pregnant women and infants and achieve good pregnancy outcomes.