胎盘血管解和相关病理在二二双胞胎怀孕
Eesha Dave1, Mert Ozan Bahtiyar1,2, William Campbell1
1Department of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut, USA.
概括
胎盘血管解,通常在单双胞胎中见到,可以发生在双双胞胎中. 这一发现与双胞胎对双胞胎输血综合征 (TTTS) 和双胞胎贫血多细胞瘤序列 (TAPS) 相关.
科学领域:
- 周围生理学 周围生理学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 双胞胎怀孕研究 双胞胎怀孕研究
背景情况:
- 胎盘血管瘤是胎盘共享血管之间的血管连接.
- 传统上,这些瘤被认为是单胎 (单胎盘) 双胞胎怀孕的独家特征.
- 最近的报道表明,它们存在于双胞胎怀孕中的二 (分离的胎盘).
研究的目的:
- 在二双胞胎怀孕中审查胎盘血管瘤的病理生理学.
- 提高对双双胞胎潜在相关病态的认识.
- 突出一个需要进一步研究的新兴领域,以改善产前监测.
主要方法:
- 一个二双胞胎怀孕的案例研究与胎盘血管瘤.
- 对该主题现有的医学文献进行全面的审查.
- 讨论拟议的病理生理机制.
主要成果:
- 胎盘血管瘤可以发生在二双胞胎怀孕中.
- 已观察到诸如双胞胎对双胞胎输血综合征 (TTTS) 和双胞胎贫血多细胞血序列 (TAPS) 等相关疾病.
- 在二胎妊娠中存在这些瘤,需要考虑具体的产前监测.
结论:
- 胎盘血管解剖并非仅限于单双胞胎,可以在双妊娠中发现.
- 这一发现可能与TTTS和TAPS等严重并发症有关.
- 进一步的研究至关重要,以建立最佳的产前监测策略,并减少受影响的双双胞胎怀孕的不良结果.
更多相关视频
09:04Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas
Published on: September 5, 2011
14.9K
09:51Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
Published on: March 21, 2018
19.6K
相关概念视频
Fetal Circulation
821
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
821
Development of Blood Vessels
530
The development of the vascular system in a fetus is a complex and intricate process that begins as early as 15 to 16 days post-conception. This process starts outside the embryo, specifically in the mesoderm of the yolk sac, chorion, and connecting stalk. Approximately two days later, the formation of blood vessels occurs within the embryo itself.
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
530
Anastomoses
660
In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They...
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They...
660
Pathophysiology of Diabetes
872
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
872
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
Overview of the Vascular System
2.7K
The vascular system comprises an extensive network of arteries, capillaries, and veins. The vascular system can be broadly divided into the blood and lymphatic systems. Typically, blood vessels can be categorized into three histological regions: tunica intima, tunica media, and tunica adventitia. The tunica intima consists of a single layer of endothelial cells attached to the basal lamina. Underlying the basal lamina is a connective tissue layer and an elastic lamina that gives stability and...
2.7K
