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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。
Objective To analyze the pregnancy outcome of inconsistent growth of twin fetuses. Methods The clinical data of 24 pregnant women with twin pregnancy were retrospectively analyzed. The twins fetal weight difference> 20% as the diagnostic criteria, divided into observation group of 14 patients and control group of 10 patients (developmental consistency), comparing the general situation of pregnant women between the two groups. Results The rate of perinatal mortality in the observation group was significantly higher than that in the control group (P <0.05). In the observation group, 12 cases (85.7%) were delivered by cesarean section in the observation group and 8 cases (80.0%) in the control group by cesarean section delivery. There was no significant difference between the two groups (P> 0.05). The rate of neonatal NICU in the observation group was significantly higher than that of the control group (P <0.05). The complication rate in observation group was higher than that in control group (P <0.05). Conclusions Incompatible twin pregnancy complications and perinatal morbidity and mortality were significantly higher than those of identical twins. Early detection and treatment of twins was inconsistent, which is the key to improve the prognosis of fetus and newborn.