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心脏双胞胎的管理:双胞胎逆动脉输血序列 - 一项国际调查

Saulo Molina-Giraldo^1,2,3, Natalia Torres-Valencia^4,5, Anthony Johnson⁶

¹Section of Fetal Therapy and Fetal Surgery Unit, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology Hospital de San José, Department of Obstetrics and Gynecology Fundación Universitaria de Ciencias de la Salud - FUCS, Bogota, Colombia.

Fetal diagnosis and therapy

|August 3, 2023

概括

双重逆动脉输液序列 (TRAPS) 的管理在全球范围内有所不同. 国际胎儿治疗中心使用心声学和多普勒对评估,激光切除或射频切除优先在子宫内干预.

科学领域:

周围生理学周围生理学
胎儿医学胎儿医学
孕产妇和胎儿医学孕产妇和胎儿医学

背景情况:

双胞胎逆动脉 perfusion 序列 (TRAPS) 的心脏双胞胎的最佳管理仍然没有定义.
在国际上,TRAPS管理的临床实践模式并不成熟.

研究的目的:

确定国际胎儿治疗单位管理TRAPS的当前临床实践模式.
为了确定TRAPS的诊断和治疗方法的变化.

主要方法:

在2020年12月至2021年12月期间,通过电子邮件对胎儿中心进行了全球调查.
77%的联系中心回应了,提供了有关其管理策略的数据.

主要成果:

心声学和动脉多普勒波形是关键的评估工具 (分别为90%和80%的中心).
欧洲和拉丁美洲在所有情况下都赞成子宫内干预,主要使用间歇性激光切除.
北美更喜欢射频除 (RFA),欧洲则更早开始干预 (平均13周).

结论:

产前评估应始终包括心声学和动脉多普勒测量.
间歇性激光切除和RFA是最常见的干预措施,通常在妊娠14至26周之间进行.

关键词:

一个心脏双胞胎.胎儿治疗胎儿治疗双胞胎怀孕是单胆子双胞胎怀孕.产前诊断在产前诊断.双胞胎逆转动脉 perfusion 的动脉输液.超声波学超声波学超声波学

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