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首页> 外文期刊>The journal of obstetrics and gynaecology research >Acute peripartum twin-twin transfusion syndrome: Incidence, risk factors, placental characteristics and neonatal outcome
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Acute peripartum twin-twin transfusion syndrome: Incidence, risk factors, placental characteristics and neonatal outcome

机译:急性围产期双胎输血综合征:发病率,危险因素,胎盘特征和新生儿结局

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Aim: The aim of this study was to examine the incidence, placental characteristics and outcome in acute peripartum twin-twin transfusion syndrome (TTTS). Material and Methods: All consecutive cases of monochorionic (MC) twins admitted to our center were included in the study. We excluded cases with chronic TTTS or twin anemia polycythemia sequence. Acute peripartum TTTS was defined when the inter-twin hemoglobin difference at birth was >8 g/dL. Results: A total of 241 MC twin pregnancies were included in the study. Acute peripartum TTTS was detected in six cases (2.5%, 6/241). Vaginal delivery occurred more often in the acute peripartum TTTS group compared to the control group of uncomplicated MC pregnancies, 100% (6/6) versus 57% (135/235) (P = 0.002), respectively. Acute anemiawas detected only in firstborn twins. Placental angioarchitecture in acute peripartum TTTS was similar to the placentas in the control group. Conclusions: The incidence of acute peripartum TTTS is low (2.5%). Birth order and mode of delivery appear to be associated with increased risk of acute peripartum TTTS.
机译:目的:本研究的目的是检查急性围产期双胎输血综合征(TTTS)的发生率,胎盘特征和结局。材料和方法:纳入本中心的所有连续性单绒毛膜(MC)双胞胎病例均纳入研究。我们排除了慢性TTTS或双贫血红细胞增多症序列的病例。当出生时双胎间血红蛋白差异> 8 g / dL时定义为急性围产期TTTS。结果:总共241例MC双胎妊娠被纳入研究。在六例患者中检出了急性围产期TTTS(2.5%,6/241)。与无并发症MC孕妇的对照组相比,急性围产期TTTS组中的阴道分娩更为频繁,分别为100%(6/6)对57%(135/235)(P = 0.002)。仅在双胎中发现了急性贫血。急性围产期TTTS中的胎盘血管结构与对照组中的胎盘相似。结论:急性围产期TTTS的发生率低(2.5%)。出生顺序和分娩方式似乎与急性围产期TTTS风险增加有关。

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