中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

双胎妊娠的孕期胎儿监护

  

  1. 西安交通大学附属西北妇女儿童医院，陕西 西安710061
  • 出版日期:2019-04-02 发布日期:2019-03-28
  • 通讯作者: 曹引丽
  • 基金资助:

    国家科技支撑计划课题（2015BAI13B04）；北京市卫计委首发基金自主创新项目（2016-2-40113）

Fetal monitoring during twin pregnancy.

  1. Department of Obstetrics，Northwest Women and Children Hospital，Xi'an Jiaotong University，Xi'an 710061，China
  • Online:2019-04-02 Published:2019-03-28

摘要：

因绒毛膜性不同，单绒双胎较双绒双胎胎儿的特殊并发症较多，围产儿预后较差。如何减少双胎妊娠母胎并发症，除了加强规范产前检查与健康指导，应在孕早期尽早超声监测明确绒毛膜性。孕早中期超声测量胎儿颈项透明层厚度以及系统超声筛查胎儿结构畸形，及早发现胎儿异常尤其是单绒双胎一些特有的特殊并发症，进行个体化超声动态监测、胎儿脐血流及胎心电子监护等了解胎儿宫内安危，及时发现异常及时干预，必要时终止妊娠，以降低出生缺陷，改善围产儿预后，保障母儿安全。

关键词: 双胎, 绒毛膜性, 超声监测, 产前诊断

Abstract:

Because of the different chorionic characteristics，monochorionic twins have more special complications than dichorionic twins，and the perinatal outcome is poor.In order to reduce the complications of twin pregnancy，in addition to strengthening the standard prenatal examination and health guidance，chorionicity should be defined in the first trimester.The nuchal translucency（NT）and systematic ultrasound screening of two fetuses are particularly important in the first-midtrimester.In order to find the fetal malformation in the twin pregnancy especially the special complications of monochorionic twins，the individual ultrosound screening，umbilical artery flow and fetal heart rate monitering are conducive to reducing birth defects and improving perinatal outcome.

Key words: twin, chronion, ultrosound monitoring, prenatal diagnosis

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