双胞胎输血综合征在二 - 双胞胎怀孕与后激光胚胎带序列的双胞胎输血综合征:一个案例报告
Melissa Chambers1, Madushka Y De Zoysa1, Tamera Hatfield1
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of California Irvine, Orange, CA, USA.
Case reports in women's health
|February 9, 2026
概括
双胞胎输血综合征 (TTTS) 很少发生在双胞胎妊娠中. 这个案例详细介绍了双双胞胎的TTTS,这些双胞胎经过激光手术治疗,但由于胎盘综合征而复杂.
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
- 生殖遗传学 生殖遗传学
背景情况:
- 双胞胎输血综合征 (TTTS) 通常会影响单胞胎双胞胎.
- 虽然很少见,TTTS可以发生在二妊娠中,呈现出独特的诊断和管理挑战.
- TTTS的潜在后果包括神经发育延迟和羊带综合征,即使在成功治疗后也是如此.
研究的目的:
- 报告一种罕见的TTTS病例,发生在二-二-二单胞胎双胞胎怀孕中.
- 为了突出在这种罕见的场景中,胎镜激光切除术的成功应用.
- 讨论一个罕见的术后并发症,羊带综合征,在TTTS治疗后.
主要方法:
- 一个30岁的无怀孕妇女的病例报告,怀有双胞胎怀孕.
- 选择性生长限制和不和的羊水的诊断,进展到第二阶段TTTS.
- 在怀孕20周进行胎镜激光切除治疗,然后在怀孕29周进行剖腹产.
主要成果:
- 通过使用胎镜激光切除,成功诊断和治疗二-二-二单胞胎妊娠的第二阶段TTTS.
- 由于早产和膜破裂,在29周通过剖腹产分娩.
- 一个新生儿的羊带综合征的产后并发症.
结论:
- TTTS可以发生在二-二双胞胎单胞胎双胞胎中,需要仔细监测.
- 胎镜激光手术是双双胞胎中TTTS的可行的治疗选择.
- 胚胎带综合征仍然是一个罕见的,但可能的并发症后胎镜激光手术TTTS.
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