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湖北首例多胎妊娠射频消融减胎妈妈诞下一男婴

2017-09-02 10:45:57   中国青年网

人民网武汉9月2日电 能怀上三胞胎,外人看来是喜上加喜。可三胞胎孕妇笑笑,差点为此搭上了性命。在武汉大学人民医院妇产超声科的帮助下,她两个月内连减两胎,并于8月27日顺利产下一个健康男婴。至此,该院开展的湖北首例多胎妊娠射频消融减胎术,获得圆满成功。

今年初,27岁的笑笑喜怀三胞胎。但今年3月的产检发现,三胞胎中的两个胚胎共用一个胎盘,且存在大量异常血管吻合,可能会出现双胎输血综合征或选择性生长受限等并发症。一旦一胎死亡,另一胎也有可能受到严重影响。

为了降低妊娠风险,4月16日,笑笑在武汉大学人民医院妇产超声科接受了射频消融减胎术减去一胎,保留了两个。该手术也是湖北省成功开展的首例复杂多胎妊娠射频消融减胎术,即在超声引导下,将电极置入被减胎儿脐血管入腹腔的部位,通过高温让脐血管凝固,阻断脐带血流,从而达到减胎但不影响保留胎儿的效果。

到今年5月中旬,笑笑在进行排畸检查时,又发现其中一个胎儿不幸患有先天性心脏病。再三考虑后,笑笑一家做出选择:再减掉一个胎儿。8月底,笑笑顺产一名体重2175克的健康男婴。

“母婴状况都很好,宝宝一出生的评分很高。”人民医院妇产超声科主任石华教授说,虽然笑笑经历了两次减胎,不过宝宝发育得很好,无论是体重还是身体素质,都达到了健康宝宝的标准。

石华教授提醒广大孕妈,随着女性生育年龄增高以及辅助生殖技术的发展,双胎及多胎出生率越来越高,单卵双胎发生率亦有增加。但多胞胎出生缺陷和早产发生率高,且围产儿发病率及死亡率较高,且可能导致孕妇患上高血压、贫血等疾病。因此,建议怀孕后,应尽早(6-8周左右)接受检查,如果发现多胎妊娠应听取专科医师的意见,依据胎儿发育情况和母亲身体情况,做出科学抉择。(李苇薇)

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