CAJ | 학술논문

目的：探讨孕中期经腹氯化钾（ KCl）减胎术的方法及妊娠结局。方法选择孕中期因多胎妊娠或双胎妊娠者有1胎异常的孕妇进行超声引导下经腹KCl减胎术，分析减胎方法、术后并发症和妊娠结局等。结果9例妊娠中期经腹KCl减胎术均成功。1例术后流产，1例晚期流产，术后2周流产率11.10％。保留双胎2例，平均分娩孕周33＋4周，新生儿出生体重（1.94±0.18） kg；保留单胎4例，平均分娩孕周39＋3周，新生儿出生体重（3.26±0.14）kg；妊娠随访中1例。结论超声引导下孕中期经腹KCl减胎术可作为避免多胎妊娠及异常胎儿出生的安全、简便、有效方法。
목적：탐토잉중기경복록화갑（ KCl）감태술적방법급임신결국。방법선택잉중기인다태임신혹쌍태임신자유1태이상적잉부진행초성인도하경복KCl감태술，분석감태방법、술후병발증화임신결국등。결과9례임신중기경복KCl감태술균성공。1례술후유산，1례만기유산，술후2주유산솔11.10％。보류쌍태2례，평균분면잉주33＋4주，신생인출생체중（1.94±0.18） kg；보류단태4례，평균분면잉주39＋3주，신생인출생체중（3.26±0.14）kg；임신수방중1례。결론초성인도하잉중기경복KCl감태술가작위피면다태임신급이상태인출생적안전、간편、유효방법。
Objective To summarize the method and outcome of transabdominal fetal reduction using potassium chloride ( KCl) during the second trimester .Methods 9 cases with multiple pregnancy or abnormal fetus and were received transabdominal fetal reduction using KCl under ultrasound guidance . The methods of fetal reduction, postoperative complications and outcome were analyzed .Results The second-trimester transabdominal fetal reduction of all cases were successful .1 case was postoperative miscarriage and 1 case was late -term miscarriage, with miscarriage rate of 11.10%.2 cases retained twin fetuses , the average gestational age were 33 +4 weeks and the average neonatal birth weight was ( 1.94 ±0.18 ) kg.4 cases retained singleton fetus , the average gestational age were 39 +3 weeks and the average neonatal birth weight was (3.26 ±0.14) kg.1 case is still follow-up.Conclusion The fetal reduction using KCl during the second trimester of pregnancy can be used as a safe , simple and effective method to avoid multiple pregnancy and the birth of abnormal fetuses .