论文部分内容阅读
目的探讨双胎输血综合征(TTTS)的妊娠结局。方法将双胎输血综合征组(50例)作为研究组,将非双胎输血综合征组作为对照组(共104例)。比较两组间的年龄、孕次、受孕方式、早产率、新生儿窒息率、新生儿脑损伤率、胎儿丢失率、新生儿体重及妊娠期并发症发生率有无显著性差异。结果妊娠期高血压疾病、胆汁瘀积综合征、心力衰竭及贫血的发生例数两组差异无统计学意义(P>0.05)。胎膜早破的发生例数两组差异有统计学意义(P<0.05)。终止妊娠平均孕周、新生儿窒息率、新生儿脑损伤发生率、新生儿体重、胎儿丢失率、围生期死亡率差异有统计学意义(P<0.05)。结论双胎输血综合征有更差的新生儿结局,需要进一步关注研究以改善新生儿预后。
Objective To investigate the pregnancy outcome of twin-tailed blood transfusion syndrome (TTTS). Methods Twins transfusion syndrome group (50 cases) was used as the study group, and non-twin transfusion syndrome group as the control group (104 cases). The differences of age, pregnancy time, methods of pregnancy, premature birth rate, neonatal asphyxia, neonatal brain injury rate, fetal loss rate, neonatal weight and pregnancy complications were compared between two groups. Results There was no significant difference in incidence of gestational hypertension, cholestasis syndrome, heart failure and anemia between the two groups (P> 0.05). The incidence of premature rupture of membranes between the two groups was statistically significant (P <0.05). The mean gestational weeks, neonatal asphyxia, neonatal brain injury rate, neonatal weight, fetal loss rate and perinatal mortality rate were significantly different (P <0.05). Conclusions Twin twin transfusion syndrome has poorer neonatal outcomes and further studies are needed to improve the prognosis of newborns.