在双胞胎双胞胎怀孕中管理双胞胎贫血-多细胞血症序列的两个病例
Yongke Zhang1, Yiheng Liang1, Ran Chen2
1Department of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, China.
Frontiers in medicine
|February 12, 2025
概括
双胞胎贫血多细胞血症序列 (TAPS) 是单双胞胎的一种罕见并发症. 本研究强调了两个TAPS病例的不同管理策略,强调为最佳结果提供个性化护理.
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
- 新生儿科学 新生儿科学
背景情况:
- 双胞胎贫血多细胞血症序列 (TAPS) 是单胞胎怀孕的罕见并发症.
- TAPS涉及双胞胎之间不平等的血液分布,导致一个人的贫血,另一个人的多细胞血症.
- 早期诊断和适当的治疗对于胎儿的健康至关重要.
研究的目的:
- 介绍TAPS的两个不同的案例.
- 为了说明基于TAPS严重程度和妊娠阶段的各种管理方法.
- 强调TAPS中量身定制的治疗策略的重要性.
主要方法:
- 案例1:在怀孕33周通过中脑动脉缩速度峰值 (MCA-PSVs) 诊断出3期TAPS,并在产后得到确认.
- 案例2:在怀孕18周时诊断出第二阶段的TAPS,使用胎镜激光手术进行管理.
- 手术后的监测包括连续的MCA-PSV超声波和胎儿生长的评估.
主要成果:
- 案例1:在剖腹产后,TAPS的产后确认.
- 案例2:尽管有选择性的子宫内生长限制,但成功进行胎镜激光手术,术后胎儿状态良好.
- 两个新生儿在自发早产后都实现了正常的发育里程碑.
结论:
- 治疗TAPS需要仔细考虑个体患者的病情和妊娠年龄.
- 胎镜激光手术可以成为严重TAPS的有效治疗方法.
- 个性化管理计划对于优化TAPS怀孕结果至关重要.
关键词:
胎儿镜激光疗法 胎儿镜激光疗法中间大脑动脉峰值 缩速度双胞胎怀孕是一种单双胞胎怀孕.双胞胎贫血-多细胞贫血序列超声波监控监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控超声波监控更多相关视频
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