Strauss A, Hasbargen U, Paek B, Bauerfeind I, Hepp H
Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Klinikum Grosshadern, Ludwig-Maximilians-Universität, München, Deutschland.
Fetal Diagn Ther. 2000 Jan-Feb;15(1):4-7. doi: 10.1159/000020968.
The amniotic band syndrome represents a prime example of exogenous disruption of an otherwise normal fetal development. It may be a sequel of invasive diagnostic procedures such as amniocentesis or fetal blood sampling. A 38-year-old gravida II, para II delivered a morphologically normal male stillborn at term. The pregnancy history had been unremarkable but for an early 2nd-trimester amniocentesis. Cause of the intra-uterine fetal demise was noted to be an amniotic band constricting the umbilical cord. An amniotic band is a rare but potentially fatal condition which may be induced by, e.g., invasive prenatal procedures. Such bands are not usually diagnosed prenatally; however, selected patients with augmented risk may profit from intensive ultrasound evaluation including Doppler studies.
羊膜带综合征是正常胎儿发育受到外源性干扰的典型例子。它可能是羊膜穿刺术或胎儿血样采集等侵入性诊断程序的后遗症。一名38岁经产妇，孕2产2，足月分娩出一名形态正常的男性死产儿。除了孕中期早期进行过羊膜穿刺术外，孕期史无异常。宫内胎儿死亡的原因是一条羊膜带压迫脐带。羊膜带是一种罕见但可能致命的情况，例如可能由侵入性产前检查引起。这种羊膜带通常在产前无法诊断；然而，部分高危患者可能会从包括多普勒检查在内的强化超声评估中获益。
