双胞胎逆动脉输血序列的管理:系统性审查和元分析
Michael A Stellon1, Devashish S Joshi2, Michael J Beninati3
1Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA, mstellon@uwhealth.org.
Fetal diagnosis and therapy
|December 3, 2024
概括
射频切除 (RFA) 是双重逆动脉输液 (TRAP) 序列的技术上最成功的治疗方法. 虽然双胞胎存活率在各种方法中是相似的,但RFA为这种罕见的双胞胎妊娠并发症提供了更好的结果.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生殖医学 生殖医学
- 产科 产科 产科 产科 产科
背景情况:
- 双胞胎逆动脉输液 (TRAP) 序列是单胞胎双胞胎怀孕的罕见并发症.
- 它涉及一个正常的双胞胎和心脏质量之间的胎盘解剖.
- 对TRAP序列的最佳管理策略尚不清楚.
研究的目的:
- 为了比较TRAP序列的各种治疗策略的有效性和结果.
- 为了确定TRAP序列在技术上最成功的干预措施.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 在PubMed,Scopus,Web of Science和Cochrane图书馆进行文献搜索.
- 使用费舍尔精确测试和随机效应建模的统计分析.
主要成果:
- 射频除 (RFA) 证明了最高的技术成功率.
- 在治疗方式之间没有观察到双胞胎存活率的显著差异.
- 与RFA相比,线绑定与更高的出血率有关.
结论:
- 在技术上,RFA是TRAP序列中最成功的策略.
- 需要进一步的前性研究来确定最佳治疗方式和妊娠年龄以获得最佳结果.
相关概念视频
Aortic Regurgitation IV: Nursing Management
9
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
9
Fetal Circulation
810
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...
810


