在一个单一中心连续一系列的多水的氨缩:说明,风险和围产期结果
Arianna Laoreti1,2, Valentina Sala2, Daniela Casati1,2
1Fetal Therapy Unit "U. Nicolini", Buzzi Children's Hospital, University of Milan, 20154 Milan, Italy.
Children (Basel, Switzerland)
|April 27, 2024
概括
对于严重的多水瘤而言,氨膜切除是缓解母亲症状的安全程序. 这种在三级中心进行的干预与高胎儿异常率有关,但很少出现并发症.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 周围生理学 周围生理学
- 产科 产科 产科 产科 产科
背景情况:
- 严重的多水症往往表明潜在的胎儿异常.
- 症状多水症可能会显著影响母亲的幸福感.
- 氨缩减是一种潜在的干预措施,用于管理母亲的症状.
研究的目的:
- 为了评估氨缩减的安全性和结果,用于症状多水.
- 为了分析怀孕和新生儿后的结局amnioreduction.
- 为了确定胎儿异常的发病率,在怀孕经历了羊膜缩小.
主要方法:
- 对86例怀孕 (单胎和双胎) 进行了回顾性研究,这些怀孕因症状多水症而经历了羊膜缩小 (2010-2023年).
- 从医疗记录,出院报告和电话召回中收集的数据.
- 分析包括指示,手术技术和母婴结局.
主要成果:
- 胎儿异常存在于79%的病例中,主要是胃肠道阻塞异常.
- 第一次羊膜切除时的中位妊娠年龄为32.5周.
- 术后并发症很少见;产生的妊娠年龄中位数为36.5周.
- 怀孕延长了手术后30天的中位数.
- 过早分娩 (<37周) 发生在48.8%,其中26.7%在34周前分娩.
- 在23.2%的患者中,发生过早的膜破裂 (<36周).
结论:
- 膜切除是一种相当安全的程序,用于缓解与严重多水症相关的孕产妇症状.
- 这些高风险怀孕需要在第三级推中心进行管理,因为需要多学科护理.
- 该程序与低并发症率有关,尽管胎儿异常的发病率很高.
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