双胎输血综合征胎儿镜术后脐带缠绕1例报告

发布时间：2018-01-29 08:04

本文关键词： 双胎输血综合征胎儿镜下胎盘交通血管激光凝固术脐带缠绕羊膜分隔破裂　出处：《中国微创外科杂志》2017年10期 　论文类型：期刊论文

【摘要】：本文报道我院2017年1月1例双胎输血综合征胎儿镜下胎盘交通血管激光凝固(fetoscopic laser occlusion of chorioangiopagous vessels,FLOC)术后脐带缠绕。本例双胎输血综合征于孕22周行FLOC,术后规律产检、超声随访,胎儿生长发育好,孕34周时提示两胎儿脐带缠绕,遂行剖宫产术,术中单羊膜腔,可见分离羊膜片,明确诊断脐带缠绕。我们认为双胎输血综合征胎儿镜术后序贯超声监测非常重要,对于术中跨膜凝固交通血管者尤其需要警惕羊膜分隔破裂致脐带缠绕这一极少见的术后并发症。
[Abstract]:In this paper, we report the laser coagulation of placental communicating vessels in our hospital on January 1st 2017 under fetal endoscopy with twin transfusion syndrome (TTS). Fetoscopic laser occlusion of chorioangiopagous vessels. The twin transfusion syndrome was performed at the 22nd week of gestation. Regular postoperation prenatal examination, ultrasound follow-up, fetal growth and development, 34 weeks gestation indicated that the two fetuses were entangled with umbilical cord. Cesarean section, single amniotic cavity, separation of amniotic membrane film, and definite diagnosis of umbilical cord twining. We think it is very important to monitor fetal blood transfusion syndrome by sequential ultrasound after operation. Especially for transmembrane coagulation of communicating blood vessels, the complication of umbilical cord winding caused by amniotic septal rupture is a rare complication.
【作者单位】：北京大学第三医院妇产科;
【基金】：国家生殖健康及重大出生缺陷防控研究专项(项目编号:2016YFC1000400)
【分类号】：R714.5
【正文快照】： 双胎输血综合征(twin-twin transfusionsyndrome,TTTS)是单绒毛膜双胎特有的严重并发症,目前,胎儿镜下胎盘交通血管激光凝固术(fetoscopic laser occlusion of chorioangiopagousvessels,FLOC)是公认的最有效治疗TTTS的方式,术后羊膜分隔破裂发生脐带缠绕是FLOC较少见的并发症

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