不同绒毛膜性质双胎妊娠母儿结局分析

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Abstract Objective To analyze maternal and neonatal outcomes of different chorionic twins, in order to investigate the effect of chorionic villi on the complications of pregnant women. Methods The clinical data of 559 twin pregnancy women in Beijing Tongren Hospital from January 2011 to December 2015 were collected, according to the results of chorionic nature by ultrasound in early trimester and pathologic checking the placenta and membrane after delivery, they were divided into two groups: monochorionic diamniotic twin pregnancy group (monochorionic twin group, 198 cases) and diachorionic diamniotic twin pregnancy group (diachorionic twin group, 361 cases), the pregnancy complications of pregnant women and outcomes of fetal-neonate of two groups were compared. Results The incidence of complications during pregnancy such as gestational hypertension，gestational diabetes, polyhydramnios, premature rupture of membranes and placenta abrupture and sevene postpartum hemorrhage of monochorionic twin group was 24.7%, 16.7%, 14.6%, 18.2%, 4.6%, 4.0% respectively, those of the diachorionic twin group was 21.6%, 15.5%, 13.6%, 17.5%, 3.9%,4.7% respectively, there was a statistically significant only in the incidence of preterm of two groups (P < 0.05). The fetal loss, complicated twin, asphyxia rate of neonatal and mortality rate of the monochorionic twin group (17.7%, 54.6%, 13.1%, 4.6% respectively) were significantly higher than those of the diachorionic twin group (4.4%, 21.3%, 4.4%, 2.8% respectively), the difference were statistically significant (P < 0.05). Conclusion Chorionic properties of pregnancy complications in two groups have no difference, but monochorionic twin pregnancies has a higher risk, it should be accurately determine about the chorionic nature in the first trimester, setting up monitoring and intervention measures during pregnancy to improve the outcomes of fetal-newborn.

Key words： Twin pregnancy Chorionic properities Pregnancy complication Perinatal outcome

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	LI Ting FENG Bibo▲ ZHAI Jianjun

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LI Ting FENG Bibo▲ ZHAI Jianjun. Analysis of maternal and neonatal outcomes of different chorionic twins[J]. 中国医药导报, 2017, 14(18): 106-108.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I18/106

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