Acta Metallurgica Sinica

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Discordance of twin pregnancies: screening, diagnosis and management.

ZHOU YiZHANG Ai-qing.   

  1. Fetal Medicine Unit, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China
  • Online:2015-07-02 Published:2015-07-08

双胎妊娠中一胎异常的筛查诊断与处理

周祎张爱清   

  1. 作者单位:中山大学附属第一医院妇产科胎儿医学中心,广东 广州510080
  • 基金资助:

    广东省对外科技合作项目(2010B050700006)

Abstract:

Abstract:Twin pregnancy is frequently complicated with maternal and fetal complications than singleton pregnancy. Twin discordance has been observed in monochorionic diamniotic (MCDA) twins and dichorionic diamnotic (DCDA) twins. The clinical manifestations of twin discordance include growth discordance, chromosomal or gene discordance and anomaly discordance. In order to improve the counseling and management approach, the screening, diagnosis and treatment of discordant twins are reviewed in this paper.

Key words: twin pregnancy, MCDA twins, DCDA twins, discordance of twins

摘要:

双胎妊娠比单胎妊娠容易出现母胎并发症。单绒毛膜双羊膜囊双胎(MCDA)和双绒毛膜双羊膜囊双胎(DCDA)均可发生一胎异常。双胎之一异常在临床上主要表现为双胎生长发育不一致、染色体或基因异常和结构异常。为提高双胎妊娠的临床咨询与管理水平,文章就双胎妊娠中一胎异常的筛查、诊断与处理进行阐述。

关键词: 双胎妊娠, 单绒毛膜双胎, 双绒毛膜双胎, 双胎之一异常

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