65例双胎发育不一致的临床分析 [中文引用][英文引用]

目的 对双胎发育不一致进行临床分析。方法 2006年4月至2011年4月妊娠31周以后在江苏省人民医院分娩的285例双胎，计算两胎儿体重差，≥20%为研究组，<20%的为对照组。比较两组孕妇年龄、产次、受精卵性质、绒毛膜性、胎儿性别、超声脐血流S/D比值、并发症、胎儿结局有无差异。结果 研究组中S/D比值之差≥0.3的比例高于对照组，具有明显的统计学意义；发育不一致的双胎受母体并发妊娠期高血压疾病的影响，具有统计学意义。结论 双胎发育不一致脐血流S/D比值之差升高与母体并发妊娠期高血压疾病有关。

Objective  Clinical studies of inconsistent development in twins. Method  From April 2006 to April 2011 in Jiangsu Province People's Hospital, after 31 weeks of pregnancy in 285 cases of twins birth, calculated the weight difference between the two fetuses, ≥20% as the study group,<20% of the control groups were compared maternal age, parity, chorionic sex, sex, color Doppler umbilical S/D ratio, complications, fetal outcomes were compared. Results  In the study group, the S/D ratio of the difference ≥0.3 was higher than the S/D ratio of the difference <0.3,with a statistically significant; inconsistent growth and development of twins complicated by maternal hypertensive disorders of pregnancy, and with statistical significance. Conclusions  The inconsistency of development by twin S/D ratio, and hypertensive disorders of pregnancy.