胎儿巨大骶尾部畸胎瘤宫外产时处理1例  

A case report of fetal giant sacrococcygeal teratoma during exutero intrapartum treatment

作　　者：赵杭燕[1] 诸纪华[2] 王金湖[3] 钭金法[4] 徐玮泽[5] 李昳 罗琼[6] 徐红艳[7] Zhao Hangyan;Zhu Jihua;Wang Jinhu;Tou Jinfa;Xu Weize;Li Die;Luo Qiong;Xu Hongyan(Department of Pediatric Surgery Operating Room,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center For Child Health,Hangzhou 310052,China;Department of Nursing,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center For Child Health,Hangzhou 310052,China;Department of Surgical Oncology,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center For Child Health,Hangzhou 310052,China;Department of Neonatology,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center For Child Health,Hangzhou 310052,China;Department of Cardiac Surgery,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center For Child Health,Hangzhou 310052,China;Department of Obstetrics,Women's Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China;Department of Operating Room,Women's Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属儿童医院儿外科手术室国家儿童健康与疾病临床医学研究中心,杭州310052 [2]浙江大学医学院附属儿童医院护理部国家儿童健康与疾病临床医学研究中心,杭州310052 [3]浙江大学医学院附属儿童医院肿瘤外科国家儿童健康与疾病临床医学研究中心,杭州310052 [4]浙江大学医学院附属儿童医院新生儿外科国家儿童健康与疾病临床医学研究中心,杭州310052 [5]浙江大学医学院附属儿童医院心脏外科国家儿童健康与疾病临床医学研究中心,杭州310052 [6]浙江大学医学院附属妇产科医院产科,杭州310006 [7]浙江大学医学院附属妇产科医院手术室,杭州310006

出　　处：《临床小儿外科杂志》2022年第11期1098-1100,共3页Journal of Clinical Pediatric Surgery

基　　金：浙江省教育厅科研项目(Y202250090);浙江省基础公益研究计划项目(GF22F039295)

摘　　要：骶尾部畸胎瘤是胎儿期常见肿瘤之一,巨大畸胎瘤可能增加胎儿心脏负荷,导致胎儿水肿、心功能衰竭等严重问题。宫外产时处理最初应用于胎儿严重膈疝(fetoscopic endoluminal tracheal occlusion,FETO)手术后气管内堵塞物的取出,之后应用范围逐步扩大,对胎儿气道梗阻或心肺功能不全发挥了重要作用。本文报告1例应用宫外产时处理技术治疗的胎儿巨大骶尾部畸胎瘤合并心功能衰竭,探讨骶尾部畸胎瘤宫外产时处理的应用指征,总结宫外产时处理的围术期管理要点。

关 键 词：畸胎瘤 骶尾部 分娩 产时手术 

分 类 号：R73[医药卫生—肿瘤]