复杂单绒多胎妊娠射频消融减胎术围术期的护理方案探讨 [中文引用][英文引用]

目的 探讨复杂单绒多胎妊娠射频消融减胎术的有效护理配合。方法 选择46例在我院胎儿医学中心行射频消融减胎术的单绒毛膜多胎妊娠孕妇为研究对象，针对其病情的特殊性，对其术前、术中、术后给予个体化的护理措施并评估护理效果。结果 46例手术均成功，其中2例并发胎膜早破后流产，1例术后拟保留胎儿发生胎死宫内，其余均未出现胎盘早剥、羊水渗漏、出血等并发症。结论 射频消融减胎术是治疗复杂单绒毛膜多胎妊娠并发症的有效措施，术前、术中、术后的个体化护理有助于改善胎儿结局，提升孕妇满意度。

Objective To explore the effective nursing cooperation of radiofrequency ablation for selective reduction in complex monochorionic multiple pregnancies. Method In this study, individualized nursing measures were given to 46 women of monochorionic multiple pregnancy of pre-operation, intra-operation and post-operation, who underwent radiofrequency fetal ablation in the Fetal Medicine Center of our hospital. Then, the nursing effects were evaluated. Results All 46 surgeries were successful. Though there were two women miscarried with premature rupture of membranes; one woman met fetal death in utero after the operation. Placental abruption, amniotic fluid leakage, bleeding and other complications were not found in the left women. Conclusions Radiofrequency ablation for selective reduction is an effective method to treat the complications of complex monochorionic multiple pregnancy. Providing individualized care for pregnant women before, during and after surgery can raise the success rate of operation, improve the outcome of fetus, and promote the satisfaction of pregnant women.