中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2010年
12期
1069-1071
,共3页
刘涛%王慧芳%谭喜平%甘晗靖%林琪%焦阳%熊奕%姜燕%张辉%吴瑛
劉濤%王慧芳%譚喜平%甘晗靖%林琪%焦暘%熊奕%薑燕%張輝%吳瑛
류도%왕혜방%담희평%감함정%림기%초양%웅혁%강연%장휘%오영
超声检查,产前%双胎输血综合征%羊水
超聲檢查,產前%雙胎輸血綜閤徵%羊水
초성검사,산전%쌍태수혈종합정%양수
Ultrasonography,prenatal%Fetofetal transfusion%Amniotic fluid
目的 探讨产前超声监测羊水量不均衡双胎的临床价值.方法 分析270例双羊膜囊双胎中单绒毛膜双羊膜囊双胎(monochorionic-diamniotic twin,MCDA)与双绒毛膜双羊膜囊双胎(dichorionicdiamniotic twin,DCDA)羊水量不均衡的发生率,妊娠过程中羊水量变化趋势及与妊娠结局的关系.结果 共45例双胎间羊水量不均衡,MCDA组37例,其中24例为双胎输血综合征(twin-to-twin transfusion syndrome,TTTS);DCDA组8例,无TTTS发生.MCDA组羊水量不均衡的发生率明显高于DCDA组(P＜0.001).MCDA组中羊水量不均衡的非TTTS双胎,羊水量的差异随孕周增加呈减少趋势,且妊娠结局明显优于TTTS(P＜0.001).结论 MCDA组中羊水量不均衡双胎与TTTS间可能存在一个重叠的临界状态,动态监测羊水量的变化趋势,是产前诊断和判断预后的关键,也是临床干预的重要依据.
目的 探討產前超聲鑑測羊水量不均衡雙胎的臨床價值.方法 分析270例雙羊膜囊雙胎中單絨毛膜雙羊膜囊雙胎(monochorionic-diamniotic twin,MCDA)與雙絨毛膜雙羊膜囊雙胎(dichorionicdiamniotic twin,DCDA)羊水量不均衡的髮生率,妊娠過程中羊水量變化趨勢及與妊娠結跼的關繫.結果 共45例雙胎間羊水量不均衡,MCDA組37例,其中24例為雙胎輸血綜閤徵(twin-to-twin transfusion syndrome,TTTS);DCDA組8例,無TTTS髮生.MCDA組羊水量不均衡的髮生率明顯高于DCDA組(P＜0.001).MCDA組中羊水量不均衡的非TTTS雙胎,羊水量的差異隨孕週增加呈減少趨勢,且妊娠結跼明顯優于TTTS(P＜0.001).結論 MCDA組中羊水量不均衡雙胎與TTTS間可能存在一箇重疊的臨界狀態,動態鑑測羊水量的變化趨勢,是產前診斷和判斷預後的關鍵,也是臨床榦預的重要依據.
목적 탐토산전초성감측양수량불균형쌍태적림상개치.방법 분석270례쌍양막낭쌍태중단융모막쌍양막낭쌍태(monochorionic-diamniotic twin,MCDA)여쌍융모막쌍양막낭쌍태(dichorionicdiamniotic twin,DCDA)양수량불균형적발생솔,임신과정중양수량변화추세급여임신결국적관계.결과 공45례쌍태간양수량불균형,MCDA조37례,기중24례위쌍태수혈종합정(twin-to-twin transfusion syndrome,TTTS);DCDA조8례,무TTTS발생.MCDA조양수량불균형적발생솔명현고우DCDA조(P＜0.001).MCDA조중양수량불균형적비TTTS쌍태,양수량적차이수잉주증가정감소추세,차임신결국명현우우TTTS(P＜0.001).결론 MCDA조중양수량불균형쌍태여TTTS간가능존재일개중첩적림계상태,동태감측양수량적변화추세,시산전진단화판단예후적관건,야시림상간예적중요의거.
Objective To evaluate the values of prenatal surveillances of ultrasonography in twin pregnancies with amniotic fluid discordance. Methods Two hundred and seventy cases of diamniotic twins were included. Both postnatal outcomes and prenatal amniotic fluid discordant variations were analyzed,and the incidences of amniotic fluid discordance were compared between the monochorionic-diamniotic(MCDA)and dichorionic-diamniotic (DCDA) gruop. Results Twenty four cases of twins with amniotic fluid discordance were found in the study. The incidence of amniotic fluid discordance in MCDA group was much higher than that in DCDA group (28.9% vs 5.6%, P ＜0. 001 ) ,and 24 cases of twin-to-twin transfusion syndrome (TTTS) were diagnosed in the former group and none were found in the latter group. Downward tendency of amniotic fluid discordance was shown in non-TTTS cases of MCDA group. Compared with TTTS cases, the postnatal outcomes of non-TTTS cases with amniotic fluid discordance were much better in MCDA group ( P ＜0.001 ). Conclusions TTTS and MCDA twins with amniotic fluid discordance may overlap each other in the early stage. Serial surveillances of ultrasonography are necessary for prenatal differentiating twin pregnancies complicated by amniotic fluid discordance,and providing strong support to clinical treament.
