妊娠14周时双胎输血综合征合并胎儿水肿的产前诊断。

Prenatal diagnosis of twin-twin transfusion syndrome complicated with hydrops fetalis at 14 weeks of gestation.

作者信息

Su R M, Yu C H, Chang C H, Yang H B, Chang F M

机构信息

Department of Obstetrics and Gynecology and Department of Pathology, National Cheng Kung University Medical College and Hospital, Tainan, Taiwan.

出版信息

Int J Gynaecol Obstet. 2001 May;73(2):151-4. doi: 10.1016/s0020-7292(00)00388-x.

DOI:10.1016/s0020-7292(00)00388-x

PMID:11336735

Abstract

Twin-twin transfusion syndrome (TTTS) may complicate multiple pregnancy. Monochorionic discordant twins with oligohydramnios and polyhydramnios may be diagnostic. Hydrops fetalis is particularly ominous. All the signs can appear independently at any stage of gestation. However, TTTS with hydrops fetalis in early pregnancy is rare. We report here a case of TTTS complicated with hydrops fetalis diagnosed at 14 weeks of gestation. Our case may be one of the earliest cases of the prenatal diagnosis of TTTS complicated with hydrops fetalis in the literature.

摘要

双胎输血综合征（TTTS）可能使多胎妊娠复杂化。羊水过少和羊水过多的单绒毛膜不一致双胎可能具有诊断意义。胎儿水肿尤其凶险。所有这些体征可在妊娠的任何阶段独立出现。然而，妊娠早期合并胎儿水肿的TTTS很少见。我们在此报告一例在妊娠14周时诊断为TTTS合并胎儿水肿的病例。我们的病例可能是文献中产前诊断TTTS合并胎儿水肿最早的病例之一。