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管理早期和晚期双胞胎输血综合征的共识协议:德尔菲研究

E Krispin¹, A Javinani¹, A Odibo²

¹Maternal Fetal Care Center (MFCC), Department of Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology

|August 9, 2023

概括

专家们达成共识,将双胞胎输血综合征 (TTTS) 管理在典型的妊娠范围之外. 胎镜激光光凝血 (FLP) 可以在15周及28周的早期用于TTTS管理.

科学领域:

孕产妇和胎儿医学孕产妇和胎儿医学
胎儿外科手术胎儿外科
高风险的怀孕高风险的怀孕

背景情况:

双胞胎输血综合征 (TTTS) 管理指南缺乏非常早期 (16周前),早期 (16-18周) 和晚期 (26周后) 的怀孕.
胎镜激光光凝血 (FLP) 是16至26周妊娠期间TTTS的标准治疗方法.

研究的目的:

建立一个结构化的,基于专家的临床共识,用于管理早期 (16-18周) 和晚期 (26周后) TTTS.
解决标准治疗窗口之外的TTTS最佳临床管理方面的证据差距.

主要方法:

在TTTS管理领域的53名专家组成的国际小组中,进行了四轮的Delphi程序.
通过在线平台匿名收集答案,利用开放式问题和利克特等级等级来达成共识.

主要成果:

在早期和晚期TTTS的最佳管理方面达成了共识.
胎镜激光光凝血 (FLP) 可以考虑早在妊娠15周的某些情况下,直到28周.
在怀孕16周到18周之间应根据多普勒检测结果进行个性化管理.

结论:

已经建立了一个专家同意的早期和晚期TTTS治疗方案.
这种共识旨在指导临床实践,改善患者护理,并为TTTS管理的未来研究提供信息.
该协议允许运营商自由裁量权和具体情况的修改.

关键词:

德尔菲技术德尔菲技术是什么?TTTS TTTS 的意思是什么?减少了一些减少.期待着管理层的管理.胎儿输血胎儿输血胎儿镜激光光凝聚器的使用.多种植物的植物.减少怀孕减少怀孕定性研究是指质量研究.双胞胎 - 双胞胎输血综合征

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