文献詳細
今月の臨床 多胎管理のここがポイント―TTTSとその周辺
膜性に応じた対応
文献概要
●二卵性双胎における先天異常の発生頻度は単胎とほぼ同等とされているが,一卵性双胎では単胎の2〜3倍多く発生すると考えられている.
●二絨毛膜性双胎と比較すると一絨毛膜性双胎では先天異常の頻度が約2倍に増加する.
●同一の受精卵から発生する一卵性双胎であっても,同一の先天異常を有する確率は高くない.
●二絨毛膜性双胎と比較すると一絨毛膜性双胎では先天異常の頻度が約2倍に増加する.
●同一の受精卵から発生する一卵性双胎であっても,同一の先天異常を有する確率は高くない.
参考文献
1)Glinianaia SV, et al : Congenital anomalies in twins : a register-based study. Hum Reprod 23 : 1306-1311, 2008
2)Mastroiacovo P, et al : Congenital malformations in twins : an international study. Am J Med Genet 83 : 117-124, 1999
3)Tang Y, et al : The risk of birth defects in multiple births : a population-based study. Matern Child Health J 10 : 75-81, 2006
4)Bryan E, et al : Congenital anomalies in twins. Baillieres Clin Obstet Gynaecol 1 : 697-721, 1987
5)Peng R, et al : MCDA twins with discordant malformations : submicroscopic chromosomal anomalies detected by chromosomal microarray analysis and clinical outcomes. Prenat Diagn 36 : 766-774, 2016
6)Gul A, et al : Perinatal outcomes of twin pregnancies discordant for major fetal anomalies. Fetal Diagn Ther 20 : 244-248, 2005
7)Kroeldrup L, et al : Chromosomal aberrations in monozygotic and dizygotic twins versus singletons in denmark during 1968-2009. Twin Res Hum Genet 20 : 216-225, 2017
8)Shi X, et al : Fetal aneuploidy : a comparison of dichorionic twins and monochorionic twins. Fetal Diagn Ther 44 : 124-128, 2018
9)Lewi L, et al : The outcome of monochorionic diamniotic twin gestations in the era of invasive fetal therapy : a prospective cohort study. Am J Obstet Gynecol 199 : 514.e1-e8, 2008
10)Murata S, et al : Twin-twin transfusion syndrome in a monozygotic pregnancy with obvious lambda sign in first-trimester ultrasound. Taiwanese J Obstet Gynecol 55 : 904-906, 2016
11)Best KE, et al : Increased risk of congenital heart disease in twins in the North of England between 1998 and 2010. Heart 101 : 1807-1812, 2015
12)Bahtiyar MO, et al : Prevalence of congenital heart defects in monochorionic/diamniotic twin gestations. J Ultrasound Med 26 : 1491-1498, 2007
13)Zosmer N, et al : Clinical and echographic features of in utero cardiac dysfunction in the recipient twin in twintwin transfusion syndrome. Br Heart J 72 : 74-79, 1994
14)Murakoshi T, et al : Pulmonary stenosis in recipient twins in twin-to-twin transfusion syndrome : report on 3 cases and review of literature. Croat Med J 41 : 252-256, 2000
15)Mian A, et al : Conjoined twins : from conception to separation, a review. Clin Anat 30 : 385-396, 2017
16)Tannuri AC, et al : Conjoined twins-twenty years' experience at a reference center in Brazil. Clinics(Sao Paulo) 68 : 371-377, 2013
17)Hall JG : Twinning. Lancet 362 : 735-743, 2003
18)Lewi L, et al : The vascular anastomoses in monochordionic twin pregnancyes and their clinical consequences. Am J Obstet Gynecol 208 : 19-30, 2013
19)Gilbert WM, et al : Morbidity associated with prenatal disruption of the dividing membrane in twin gestations. Obstet Gynecol 78 : 623-630, 1991
20)Chmait RH, et al : Prenatal diagnosis of spontaneous septostomy of the dividing membranes in complicated monochorionic diamniotic multiple gestations. J Ultrasound Med 28 : 663-668, 2009
21)Post A, et al : Managing monoamniotic twin pregnancies. Clin Obstet Gynecol 58 : 643-653, 2015
22)Hack KE, et al : Perinatal outcomes in monoamniotic twin pregnancies. Obstet Gynecol 113 : 353-360, 2009
23)Murata M, et al : Perinatal outcome and clinical features of monochorionic monoamniotic twin gestation. J Obstet Gynaecol Res 39 : 922-925, 2013
24)Roque H, et al : Perinatal outcomes in monoamniotic gestations. J Matern Fetal Neonatal Med 13 : 414-421, 2003
25)Madsen C, et al : Outcomes of monoamniotic twin pregnancies managed primarily in outpatient care : a Danish multicenter study. Acta Obstet Gynecol Scand, 2018[Epub ahead of print]
26)Umur A, et al : Monoamniotic-versus diamniotic-monochorionic twin placentas : anastomoses and twin-twin transfusion syndrome. Am J Obstet Gynecol 189 : 1325-1329, 2003
27)Van Mieghem T, et al : Prenatal management of monoamniotic twin pregnancies. Obstet Gynecol 124 : 498-506, 2014
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