| 甘晗靖,王慧芳,林琪,焦阳,刘涛,熊奕,张辉.超声监测单绒毛膜囊双羊膜囊双胎脐带胎盘附着预测胎儿预后的价值[J].中国医学影像技术,2012,28(6):1170~1173 |
| 超声监测单绒毛膜囊双羊膜囊双胎脐带胎盘附着预测胎儿预后的价值 |
| Value of discordant cords in prognosis of monochronic diamniotic twins with ultrasonography |
| 投稿时间：2012-01-12 修订日期：2012-02-14 |
| DOI： |
| 中文关键词: 超声检查,产前 单绒毛膜囊双羊膜囊双胎 帆状附着 边缘附着 复杂性双胎 |
| 英文关键词:Ultrasonography, prenatal Monochronic diamniotic twins Velamentous cord insertion Marginal cord insertion Complicated twins |
| 基金项目:深圳市科技计划项目(200901004)。 |
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| 中文摘要: |
| 目的 探讨产前超声监测单绒毛膜囊双羊膜囊(MCDA)双胎脐带胎盘附着预测妊娠结局的临床应用价值。方法 回顾性分析127名MCDA双胎妊娠孕妇的产前超声检查结果和产后临床资料,比较两胎儿脐带胎盘附着一致组(59名)和不一致组(68名)的复杂性双胎发生率。结果 脐带胎盘附着不一致组复杂性双胎的发生率为51.47%(35/68),脐带胎盘附着一致组为23.73%(14/59),差异有统计学意义(P<0.05);其中双胎之一脐带帆状附着的复杂性双胎发生率为59.09%(13/22),双胎之一脐带边缘附着的复杂性双胎发生率为47.83%(22/46),差异无统计学意义(P=0.444);双胎之一帆状附着中双胎输血综合征(TTTS)的发生率为40.91%(9/22),双胎之一边缘附着中TTTS的发生率为13.04%(6/46),差异有统计学意义(P<0.05)。结论 产前超声监测MCDA双胎脐带胎盘附着能预测胎儿预后。 |
| 英文摘要: |
| Objective To observe the value of discordant cord insertions in prognosis of monochronic diamniotic (MCDA) twins with ultrasonography. Methods Totally 127 MCDA twins underwent fetal ultrasound screening were analyzed retrospectively. The incidences of complicated twins were compared between 59 cordant cords twins and 68 discordant cords twins. Results Discordant cords twins had higher incidence of complicated twins than cordant cords twins (51.47% [35/68] vs 23.73% [14/59], P<0.05). There was no statistical different between velamentous cord insertions in one of twin and marginal cord insertion in one of twin (59.09% [13/22] vs 47.83% [22/46], P=0.444). Velamentous cord insertions twins had more twin-to-twin transfusion syndrome (TTTS) than marginal cord insertion twins (40.91% [9/22] vs 13.04% [6/46], P<0.05). Conclusion Prenatal screening of cord insertions will be a key of prognosis in MCDA twins. |
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