背景:连体双胞胎(CT)是一种罕见的先天性疾病,其特征是存在与继发性异常连体器官变化和异常血液动力学叠加效应相关的畸形,每200例同卵双胎妊娠中约有1例,在50,000到100,000个活产中的1个之间。这项研究的目的是描述连体双胞胎的特征。
方法:这是一项回顾性的描述性研究。从1月1日起入住HasanSadikin万隆总医院的连体双胞胎的所有医疗记录,2015年6月30日,2023年,对性别进行了审查,连体类型,出生顺序,危险因素和治疗。
结果:在28对连体双胞胎中,21是女孩(75%),7名男孩(25%);19名(67,85%)为胸指型;11名(39,28%)为第一个孩子出生;18名(64,28%)在胎龄37周时出生;22对双胞胎(78,57%)父母年龄在21至35岁之间。没有一个母亲使用过药物,13(46,42%)偶尔服用叶酸,五个(17,85%)使用传统草药,9人(32,14%)吸烟,没有人饮酒。居住在工业区的父母为18人(64.28%)。在以前的怀孕或分娩或父母的家庭中没有连体双胞胎的病史。4例(14.28%)进行了肝脏分离。一对双胞胎中的紧急分离。9名(21.42%)患者因病情恶化而在手术前死亡。
结论:连体双胞胎在女孩中更为常见,主要为胸指骨型。常见的危险因素是第一个孩子,胎龄不到37周,住在工业区.
Conjoined twins (CT) is a rare congenital disorder characterised by the presence of malformations associated with secondary abnormal conjoined organ changes and abnormal hemodynamic superimposed effects about 1 in every 200 identical twin pregnancies, between 1 in 50,000 to 1 in 100,000 live births. The aim of this study is to describe the characteristics of conjoined twins.
This was a retrospective descriptive study. All medical records of conjoined twins who were admitted to Hasan Sadikin Bandung General Hospital from January 1st, 2015, to June 30th, 2023, were reviewed for gender, conjoined type, birth order, risk factor and treatment.
Of the 28 conjoined twins, 21 were girls (75%), and 7 were boys (25%); 19 (67,85%) were of the thoracoomphalopagus type; 11 (39,28%) were born as first children; 18 (64,28%) were born at 37 weeks of gestational age; and 22 twins\' (78,57%) parents were aged between 21 and 35 years. None of the mothers had used medication, 13 (46,42%) took folic acid on occasion, five (17,85%) used traditional herbs, nine (32,14%) smoked and none drank alcohol. Parents who live in industrial areas were 18 (64.28%). There was no history of conjoined twins in previous pregnancies or deliveries or in the parent\'s family. Liver separation had been done in four (14.28%). Emergency separation in one twin. Nine (21.42%) patients died before surgery due to a worsening condition.
The conjoined twins were more common in girls, predominantly of the thoracoomphalopagus type. Risk factors that were commonly found were the first child, a gestational age of less than 37 weeks, and living in an industrial area.