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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Fetal survival in abdominal pregnancy: a review of 11 cases.
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Fetal survival in abdominal pregnancy: a review of 11 cases.

机译：腹部妊娠的胎儿生存：综述11例。

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摘要

PURPOSE: Little has been written regarding the ultrasound imaging features that might allow prediction of fetal viability in abdominal pregnancies. Toward this goal, we present our experience with a series of 11 abdominal pregnancies. MATERIALS AND METHODS: From 1981 to 1993, 11 patients presented to Universidad Catolica, Santiago, and Universidad de Austral, Valdivia, Chile, with third trimester abdominal pregnancies. Five had complete ultrasound examinations, and these five patients were managed expectantly. The other six women presented as acute abdominal emergencies and underwent emergent surgery. RESULTS: Four of five fetuses that survived had a complete placental attachment to the uterus, and one surviving neonate had a partial attachment of the placenta to the uterus. Three fetuses died prior to delivery, and all three had a complete mesenteric placental attachment. Two died in the early neonatal period. One had a complete uterine placental attachment, and the other had a partial attachment. CONCLUSIONS: The survival rate of abdominal pregnancies may be better than is generally believed. Placental attachment to the uterus appears to be a factor related to fetal survival and maternal morbidity. More cases are necessary to determine the feasibility of managing women with abdominal pregnancies expectantly.
机译：目的：关于超声成像特征的少数人已经写得允许预测腹部妊娠中的胎儿活力。对此目标，我们展示了我们的一系列11腹部妊娠的经验。材料和方法：从1981年到1993年，11名患者介绍了Catolica，圣地亚哥和澳大利亚大学，Valdivia，智利，患有第三个三个月的腹部妊娠。五有完全的超声检查，这五名患者预期管理。另外六名女性呈现为急性腹部紧急情况和接受突发手术。结果：幸存下来的五种胎儿中有四种胎儿对子宫的完全胎盘附着，一个生存的新生儿对子宫的部分附着在子宫内。在交付之前死亡三个胎儿，所有三个都有一个完整的肠系膜胎盘附着。两次在新生儿期间死亡。一个有一个完整的子宫胎盘附着，另一个有局部附件。结论：腹部妊娠的存活率可能比一般认为更好。对子宫的胎盘依恋似乎是与胎儿生存和母体发病有关的因素。更多案件是确定患有腹部妊娠的妇女预期的妇女的可行性。

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