[1]袁华,李慕军※,李柳铭,等.超声引导下经腹中期妊娠减胎术5例分析[J].中国微创外科杂志,2009,09(7):653-655.
　Yuan Hua,Li Mujun,Li Liuming,et al.UltrasonographyGuided Transabdominal Injection for Multifetal Pregnancy Reduction in Second Trimester[J].Chinese Journal of Minimally Invasive Surgery,2009,09(7):653-655.
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超声引导下经腹中期妊娠减胎术5例分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年7期
页码:
653-655
栏目:
短篇论著
出版日期:
2009-08-25

文章信息/Info

Title:
UltrasonographyGuided Transabdominal Injection for Multifetal Pregnancy Reduction in Second Trimester
作者:
袁华; 李慕军※; 李柳铭; 马燕①; 何冰②; 覃爱平; 江莉
广西医科大学第一附属医院生殖医学研究中心, 南宁530021
Author(s):
Yuan Hua; Li Mujun; Li Liuming; et al.
Guangxi Reproductive Medical Research Centre, Department of Gynecology and Obstetrics, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
关键词:
多胎妊娠减胎; B超; 辅助生殖
Keywords:
Multifetal pregnancies reduction; Ultrasonography; Assisted reproductive techniques
分类号:
R731；R714.23
文献标志码:
A
摘要:
目的探讨超声引导下经腹中期妊娠多胎妊娠减胎术(multifetal pregnancy reduction,MFPR)的临床妊娠结局。方法经辅助生殖技术(assisted reproductive technique,ART)受孕的4例多胎妊娠及1例自然受孕的多胎妊娠行腹部B超引导下减胎术,B超引导下经腹部穿刺胎心区注射氯化钾。手术成功的标志是超声多普勒未闻胎心。术后随诊至新生儿娩出。结果共减灭6个胎儿,消减每个胎儿时间为9～21 min，平均14.2 min。5例均已分娩，共9个健康新生儿，其中1例早产。结论对于胎龄较大、错过妊娠早期或须选择性减胎的多胎妊娠，孕中期在B超介导下减胎是一种良好的补救措施。
Abstract:
ObjectiveTo investigate the efficacy of multifetal pregnancy reduction (MFPR) by ultrasonographyguided transabdominal injection in the second trimester.MethodsTotally 5 cases of multifetal pregnancy resulting from assisted reproductive technique (in 4 cases) or natural conception (in 1) received ultrasonographyguided transabdominal injection of high concentrate potassium chloride (KCl) solution. The success standard of the procedure was set as the heart beat stop of the reduced fetus shown by Doppler ultrasonography.ResultsA total of 6 fetuses were reduced in this series. The mean operation time was 142 min (range, 9-21 min). After the operation, the 5 patients delivered totally 9 healthy infants, one of them was premature delivery. ConclusionWhen the difference of gestational age is big enough or the mother missed the first trimester for MFPR, or a selective pregnancy reduction is necessary, ultrasonographyguided transabdominal injection of high concentrate KCl solution in the second trimester is a good option.

参考文献/References:

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备注/Memo

备注/Memo:
※通讯作者①超声诊断科②（广西壮族自治区人民医院生殖中心,南宁530021）
更新日期/Last Update: 2013-09-17