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目的比较早期与中期多胎妊娠减胎术后妊娠结局。方法选择1999年12月-2010年10月在我院早期和中期多胎妊娠分别行减胎术的患者207例和35例,比较早期与中期减胎手术并发症、妊娠结局、分娩孕周和新生儿出生体重情况。结果早期与中期妊娠减胎术后均无出血、羊水溢漏、术后早期流产、凝血障碍等并发症;二者术后晚期流产率分别为9.36%和3.13%,无统计学差异;新生儿平均出生体重分别为(2.76±0.55)kg和(2.53±0.48)kg;分娩孕周分别为(37.73±1.09)周和(35.44±2.81)周,亦无统计学差异。结论中期妊娠减胎术与早期妊娠减胎术一样可作为避免多胎妊娠出生的一种有效手段,同时中期妊娠减胎术也是一种避免异常胎儿出生的安全、简便、有效方法。
Objective To compare the outcome of pregnancy after fetal reduction in early and mid-term multiple pregnancies. Methods Totally 207 patients and 35 patients with esophageal abortion in early and middle multiple births from December 1999 to October 2010 were enrolled in this study. Comparing the complications of early pregnancy with the mid-term operation, pregnancy outcome, gestational age and birth Birth weight situation. Results There was no bleeding, amniotic fluid leakage, early postoperative abortion, coagulopathy and other complications in both early and second trimester pregnancy after abortion. The late abortion rates were 9.36% and 3.13% respectively, with no significant difference. Neonates Mean birth weights were (2.76 ± 0.55) kg and (2.53 ± 0.48) kg, respectively. There was no significant difference in gestational weeks between the two groups (37.73 ± 1.09 weeks and 35.44 ± 2.81 weeks, respectively). Conclusions Intermittent pregnancy loss as well as early pregnancy loss of pregnancy can be used as an effective method to prevent the birth of multiple pregnancies. It is also a safe, simple and effective method to prevent the birth of abnormal fetuses.