介入性宫内干预后绒毛膜羊膜分离的临床分析

摘要

目的:探讨介入性宫内干预后出现绒毛膜羊膜分离的临床特点及高危因素.方法:回顾性分析中山大学附属第一医院胎儿中心2001年7月-2010年6月行介入性宫内干预术后超声检查发现绒毛膜羊膜分离的病例,介入性干预包括羊水减量术213例、宫内输血28例、电凝脐带术28例.结果:269例宫内干预术后的病例中,共发现9例绒毛膜羊膜分离,羊水减量术后4例(4/213,1.88％),宫内输血术后1例(1/28,3.6％),电凝脐带术后4例(4/28,14.3％).结论:电凝脐带术后绒毛膜羊膜分离发生率高,双胎输血综合征及羊水过多可能是绒毛膜羊膜分离发生的高危因素.%Objective:To investigate the clinical characteristics of the chorioamniotic membrane separation (CMS) after invasive intrauterine treatment.Methods:Retrospective review of a maternal population undergoing intra uterine therapy at a single center following the postoperative ultrasound to follow-up for membrane separation.The intrauterine procedures consisted of cord coagulation reduction,amnioreduction,intrauterine transfusion in Center of Fetal,the First Affiliated Hospital of Sun Yatsen University from 2001 July to 2010 June.Results:From 2001 to 2010,we found 9 cases of CMS in 269 cases after invasive procedure.4 cases (4/213,1.88％) had amnioreduction,1 case (1/28,3.6％) had intrauterine transfusion and 4 cases (4/28,14.3％)had cord coagulation reduction.Conclusions:There was a higher risk of CMS after fetoscopic cord coagulation reduction.