胎儿骶尾部畸胎瘤的产前诊治策略  

Prenatal strategies for fetal sacrococcygeal teratoma

作　　者：朱海涛[1] 沈淳[1] Zhu Haitao;Shen Chun(Department of Surgery,National Children Medical Center/Children′s Hospital of Fudan University,Shanghai 201102,China)

机构地区：[1]国家儿童医学中心、复旦大学附属儿科医院外科,上海201102

出　　处：《中华妇幼临床医学杂志（电子版）》2021年第3期268-272,共5页Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)

基　　金：国家自然科学基金面上项目(81873849);复旦大学附属儿科医院多学科诊疗(MDT)拔尖项目(第2期)。

摘　　要：骶尾部畸胎瘤(SCT)是胎儿时期常见肿瘤之一。近年,SCT产前诊断率显著提高,如何正确规范地进行产前咨询,把握胎儿外科干预指征与方法,加强围生期随访评估、生后手术治疗方案的制定及术后长期随访等,将对SCT患儿预后产生重要影响。笔者拟参考国内外胎儿SCT的诊疗指南和专家共识,并结合自身的临床实践,对胎儿SCT产前诊治策略的最新研究进展进行阐述,旨在为胎儿SCT规范的产前诊治策略制定与推广提供参考。Sacrococcygeal teratoma(SCT)is one of the most common solid tumors in the development of embryos.Currently,the accuracy of SCT prenatal diagnosis has been significantly improved.Probably the prognosis of fetal SCT will be improved based on standardized prenatal counseling,precise indications and strategies for fetal surgical intervention,consolidated perinatal follow-up and assessment,postnatal management and long-term follow-up as well.This review focuses on recent advances in prenatal strategies for fetal SCT based on national or international clinical practice guidelines and consensus on fetal SCT and authors′personal clinical experience.Hopefully this review will also provide a standardized evidence for prenatal management of fetal SCT.

关 键 词：骶尾部畸胎瘤 超声检查 磁共振成像 产前诊断 胎儿水肿 胎儿 

分 类 号：R714.5[医药卫生—妇产科学]