与带真结相关的不良周产期结果:一个多中心回顾性研究
Maayan Bas Lando1, Hen Y Sela1, Sarit Helman1
1Department of Obstetrics & Gynecology, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
American journal of perinatology
|March 10, 2025
概括
真正的带结 (TKUC) 影响1.3%的出生,并显著增加子宫内胎儿死亡 (IUFD) 的风险,特别是在怀孕晚期. 早期诊断和及时分娩可以改善结果.
科学领域:
- 产科和妇科 产科和妇科
- 周围生理学 周围生理学
- 胎儿医学 胎儿医学
背景情况:
- 带真结 (TKUC) 是一种罕见的带异常.
- 在TKUC和不良周产期结局之间的关联需要进一步调查.
研究的目的:
- 为了确定TKUC的流行率.
- 为了确定与TKUC相关的孕产妇和新生儿并发症.
主要方法:
- 一项多中心回顾性队列研究包括从2005年到2021年超过283,000次分娩.
- 带经过了分娩后的粗病理学检查.
- 在有TKUC和没有TKUC的妇女之间比较了孕产妇和新生儿的结局.
主要成果:
- TKUC的发生率为1.3%.
- TKUC与子宫内胎儿死亡 (IUFD) 的风险增加了六倍,主要发生在妊娠34周后.
- 孕产妇的不良后果包括更高的胎儿膜早产破裂率,产后诱导和产后出血.
- 新生儿结局显示,怀孕年龄的婴儿小,阿帕格得分低,黄,低血糖和内出血的比率增加.
结论:
- TKUC并不罕见,并对IUFD构成重大风险,特别是在妊娠的第三季度.
- 新生儿不良后果在TKUC怀孕中也更为频繁.
- 第三个三个月的诊断和约37周的分娩可能会减轻IUFD的风险.
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