双胎妊娠生长不一致26例临床分析及文献复习

摘要

目的：分析双胎妊娠生长不一致的孕产妇及围产儿情况。方法：收集我院产科2009年8月-2013年8月住院分娩的26例双胎妊娠生长不一致孕产妇的临床资料，并随机选取26例同期住院分娩的双胎妊娠生长一致孕产妇作为对照组，分析比较两组间孕产妇孕期情况及围产儿结局。结果：研究组孕产妇一般情况与对照组无明显差异（P＞0．05）；研究组孕产妇合并妊娠期高血压疾病、双胎输血综合征、一胎胎死宫内、胎儿畸形的发生率高于对照组。研究组小于孕龄儿、新生儿窒息、转NICU、围产儿死亡的发生率明显高于对照组，差异有统计学意义（P＜0．05）。结论：双胎妊娠生长不一致的母体并发症及围产儿预后较差。早发现、早诊断、及时干预及治疗对改善胎儿及新生儿预后具有重要意义。%Objective :To analyze the maternal and perinatal outcomes of discordant growth twin .Methods:The clinical data of 26 pregnant and lying-in women with discordant growth twin hospitalized in our hospital from August 2009 to August 2013 were collected ,and randomly selected 26 pregnant women with consistent grow th twin in our hospital from the same period of time were chosen as control group .Maternal prenatal and perinatal outcomes were compared between these two groups .Results:There was no significant difference in the two groups in the general situation of pregnant and lying-in women(P> 0 .05) .The incidence of hypertensive disorder complicating pregnancy ,twin-twin transfusion syndrome ,single intrauterine fetal demise and fetal abnormalities of research group were significantly higher than control group .Small for gestational age ,asphyxia neonatorum ,neonatal occupancy in NICU and perinatal mortality were obviously higher in study group than that in the control group (P<0 .05) .Conclusion :Maternal complications and perinatal outcomes fo discordant growth twin were poor .Early detection ,early diagnosis and timely intervention have vital meaning to improve the prognosis of the fetus and newborn .