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多胎妊娠减胎术发展现状

Current status of multifetal pregnancy reduction
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摘要 近30年多胎妊娠的发生率显著增加,对于母婴的围产期结局产生了极大的影响。多胎妊娠减胎术通过在妊娠中减去一个或多个胎儿,避免多胎分娩,可改善妊娠结局。影响减胎术后结局的临床因素主要为减胎孕周、手术方式、起始及最终胚胎的数量以及是否合并单绒毛膜多胎。此外,减胎术前的产前诊断对于选择减胎对象有着准确的指导。本文就多胎妊娠减胎术现状及影响其妊娠结局的相关临床因素做一综述。 In recent 30 years, the incidence of multiple pregnancy has increased significantly, which has a great impact on maternal and infant outcomes. Multifetal pregnancy reduction (MFPR) is an ethically acceptable procedure aimed to avoid multiple births and improve pregnancy outcome. The clinical factors that affect the pregnancy outcome of MFPR mainly include the gestational age of reduction, the operation mode, the number of initial and final embryos and whether is multi-pregnancy accompany monochorionic twins. In addition, prenatal diagnosis has an accurate guidance for the selection of the object for MFPR. In this paper, the current status of MFPR and its related clinical factors influencing the outcome of pregnancy were reviewed.
作者 白云 马艳萍 Bai Yun, Ma Yanping (Department of Reproductive and Genetics Reproductive Medical Centre, the First People's Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, Kunming 650032, China)
出处 《中华生殖与避孕杂志》 CSCD 北大核心 2017年第3期245-249,共5页 Reproduction and Contraception
基金 云南省卫生科技计划项目(2014NS253,2014NS254)
关键词 妊娠 多胎 妊娠减少 妊娠结局 双生 单卵 双胎输血综合征 Pregnancy Multiple Pregnancy reduction Pregnancy outcome Twins Monozygotic Fetofetal transfusion
作者简介 通信作者:马艳萍,Tel:+86—871—63638247,Email:mayanpinghome@hotmail.com
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