摘要
双胎输血综合征是发生于单绒毛膜双胎的一种少见严重并发症,围产儿死亡率高,其发病机制与胎盘血管吻合有关,早期预测主要靠超声检查,产前诊断主要靠超声检查和产后胎盘病理检查,目前应用较多的治疗方法是羊水减量法和胎儿镜下选择性凝固吻合血管法,后者的存活率及并发症均优于前者,有较好的发展前景。
Twin-twin transfusion syndrome is a rare serious complication of single chorionic twin. As a syndrome with high perinatal mortality,its pathogenesis maybe related to placental vascular anastomosis. Its early prediction mainly depends on ultrasonography, and prenatal diagnosis on ultrasound examination and post natal placental pathological examination. Currently, endoscopic fetal amniotic fluid reduction and selective coagulation of vascular are more used in treatment of twin-twin transfusion syndrome, and the latter＇s survival rate is better while complications is less than the former,which demonstrates a better clinical prospect.
出处
《成都医学院学报》
CAS
2010年第1期79-83,共5页
Journal of Chengdu Medical College
关键词
双胎输血综合征
病因
诊断标准
治疗
预后
twin-twin transfusion syndrome
etiology
diagnostic criteria
treatment
prognosis
