复杂性双胎妊娠中射频消融减胎术的应用  

Application of radiofrequency ablation and fetal reduction in complicated twin pregnancy

作　　者：张晗[1] 赵扬玉[1] Zhang Han;Zhao Yangyu

机构地区：[1]北京大学第三医院妇产科,100191

出　　处：《中华产科急救电子杂志》2019年第1期10-13,共4页Chinese Journal of Obstetric Emergency（Electronic Edition）

基　　金：国家重点研发计划"生殖健康及重大出生缺陷防控研究"重点专项(2016YFC1000400)

摘　　要：复杂性双胎妊娠发生一胎胎死宫内时,由于胎儿间存在大量的交通血管,可能导致另一胎儿的急性失血、低血压休克和死亡,故部分单绒毛膜双羊膜囊并发症患者需行选择性减胎术,以降低存活胎儿的脑损伤风险。目前射频消融是应用较多的一种技术,本文介绍了射频消融减胎术的原理、手术过程及围手术期处理和手术并发症,并与其他常见减胎手段进行比较。Due to the large number of traffic vessels between the twins,a complicated twin pregnancy occurring within a fetal death,may cause another fetus with acute blood loss,hypotension shock and death.Therefore,some monochorionic diamniotic twin pregnancy patients selective reduction of the fetus to reduce the risk of brain damage in survival fetus.At present,radiofrequency ablation technology is a widely used technique.This article introduces the principle,surgical procedure,perioperative management and surgical complications of radiofrequency ablation and reduction,and compares it with other common methods of reducing fetus.

关 键 词：妊娠 双胎 双胎疾病 消融技术 

分 类 号：R714.23[医药卫生—妇产科学]