治疗性羊水减量术后双胎输血综合征中供体胎儿的短暂性胎儿水肿

Transient hydrops fetalis of the donor fetus in twin-twin transfusion syndrome after therapeutic amnioreduction.

作者信息

Morine M, Maeda K, Higashino K, Miura N, Kinoshita T, Endo S, Irahara M

机构信息

Department of Obstetrics and Gynecology, University of Tokushima, School of Medicine, Japan.

出版信息

Ultrasound Obstet Gynecol. 2003 Aug;22(2):182-5. doi: 10.1002/uog.164.

DOI:10.1002/uog.164

PMID:12905515

Abstract

We present a case of twin-twin transfusion syndrome associated with transient hydrops fetalis observed in the donor after therapeutic amnioreduction at 22 weeks of gestation. After the amnioreduction, the bladder of the donor could be visualized and the donor subsequently began to make amniotic fluid, with spontaneous regression of hydrops fetalis. It is suspected that after therapeutic amnioreduction, intrauterine hemodynamic changes occurred and the donor developed transient hydrops fetalis due to volume overload.

摘要

我们报告一例双胎输血综合征病例，该病例与孕22周进行治疗性羊水减量术后供体胎儿出现的短暂性胎儿水肿有关。羊水减量术后，供体胎儿的膀胱清晰可见，随后供体胎儿开始产生羊水，胎儿水肿自行消退。怀疑治疗性羊水减量术后发生了宫内血流动力学变化，供体胎儿因容量超负荷而出现短暂性胎儿水肿。