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目的:评估自然妊娠单卵双胎的孕妇因宫颈机能不全无法持续妊娠,在早孕期行选择性减胎术的临床效果。方法:报道1例宫颈机能不全的孕妇自然受孕获单卵双胎妊娠,早孕期(孕8+5周)采取机械性减胎法行选择性减胎,减灭孕囊中的一胎。结果:孕妇成功减胎,并持续妊娠,至孕37周阴道分娩1健康男婴。结论:对于单卵双胎的宫颈机能不全孕妇,早孕期行选择性减胎术是有效可行的办法。
OBJECTIVE: To evaluate the clinical efficacy of selective abortion in prenatal pregnancies for pregnant women with monozygotic twins who are unable to continue their pregnancy because of cervical incompetence. Methods: One case of pregnancy with cervical incompetence was reported to have single-fetus twins pregnancy. In the first trimester of pregnancy (8 + 5 weeks pregnant), mechanical abortion was adopted to reduce abortion and eliminate the one-child in gestational sac. Results: Pregnant women successfully aborted fetuses, and continued to pregnancy, vaginal delivery of 37 weeks pregnant healthy baby boy. Conclusion: For women with cervical incompetence of monozygotic twins, selective reduction of fetuses in early pregnancy is an effective and feasible method.