Survival of fetuses with severe oligohydramnios
Survival of fetuses with severe oligohydramnios
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DOI：
10.12891/ceog2068.2016
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发表时间：
2016-01-01
影响因子：
0.2
通讯作者：
Saitoh, S.
中科院分区：
文献类型：
--
作者：
Goto, T.;Sugiura, T.;Saitoh, S.
目的：本研究的目的是确定羊水过少胎儿短期结局的预测性数据。材料和方法：对所有诊断为羊水过少的孕妇进行回顾性研究。结果：2004年至2011年共收治羊水过少胎儿17例(男7例，女7例，不明原因3例)。羊水过少首次诊断为妊娠21.6+/-4.2周。5例在22周前终止妊娠，2例发生胎儿宫内死亡。新生儿存活10例，存活28天以上5例，48小时内死亡5例。影响生存的预后因素包括出生体重(幸存者2457±/-480克比死亡1973±124克；p<；0.05)和平均羊水指数(幸存者2.32±1.19 cm比死亡0.46±0.68 cm；p<；0.05)。结论：所有存活的患者平均AFI和GT；1.0厘米。
Objective: The aim of the present study was to identify predictive data on the short-term outcomes of fetuses with oligohydramnios. Materials and Methods: A retrospective study of all pregnancies diagnosed with oligohydramnios was performed. Results: A total of 17 fetuses (seven males, seven females, and three unknown) with oligohydramnios were treated from 2004 to 2011. Oligohydramnios was first diagnosed at a 21.6 +/- 4.2 weeks gestation. Terminations of pregnancy before 22 weeks were identified in five cases, and intrauterine fetal deaths occurred in two cases. Ten neonates were born alive, five cases survived over 28 days, and five cases died within 48 hours. Prognostic factors for survival included birth weight (2,457 +/- 480 grams in survivors vs. 1973 +/- 124 grams in non-survivors; p < 0.05) and the mean amniotic fluid index (AFI) (2.32 +/- 1.19 cm in survivors vs. 0.46 +/- 0.68 cm in non-survivors;p < 0.05). Conclusion: All patients who survived had a mean AFI > 1.0 cm.