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[目的]探讨经阴道B超下选择性减胎术临床疗效及护理措施。[方法]选择865例因辅助生殖助孕技术而造成多胎妊娠的病人作为研究对象,71例(27例3胎减1胎,6例3胎减2胎,38例2胎减1胎)采用经阴道B超下选择性减胎术病人为研究组,给予手术前心理疏导、术中配合及术后护理,手术后随访追踪。794例未减胎者为对照组。[结果]研究组流产率为9.86%(7/71),对照组流产率为6.05%(48/794),二者比较差异无统计学意义(P>0.05);33例3胎减胎中3例流产,流产率为9.09%(3/33);38例2胎减1胎中4例流产,流产率为10.53%(4/38);对照组早产率为27.71%(220/794),研究组无一例发生早产。[结论]多胎妊娠病人进行选择性减胎术是一种良好补救措施,减胎未增加自然流产率,特别是对于高风险双胎妊娠病人有效的护理与积极引导可降低早产率。
[Objective] To explore the clinical efficacy and nursing measures of transabdominal B-ultrasound selective abortion. [Methods] A total of 71 patients (27 with 3, 1, 6, 3, 2, and 1) were selected from 865 cases of multiple pregnancy due to assisted reproductive technology. Transvaginal B ultrasound selective reduction surgery patients for the study group, given preoperative psychological counseling, intraoperative and postoperative care, follow-up follow-up after surgery. 794 cases of non-reduced fetal control group. [Results] The abortion rate was 9.86% (7/71) in the study group and that in the control group was 6.05% (48/794). There was no significant difference between the two groups (P> 0.05) The abortion rate was 9.09% (3/33) in 3 cases. The abortion rate was 10.53% (4/38) in 38 cases with 2 births and 1 child. The rate of preterm birth in control group was 27.71% (220/794) No case of preterm birth occurred in the study group. [Conclusion] The selective abortion of multiple pregnancy patients is a good remedy. Abortion does not increase the spontaneous abortion rate. Especially effective nursing and active guidance for high risk twin pregnancy patients can reduce the premature birth rate.