头部连胎分离术：布里斯班的经验
Separation of craniopagus twins: the Brisbane experience.
作者信息
Campbell Scott
机构信息
Kenneth G. Jamieson Neurosurgical Unit, Royal Brisbane and Royal Children's Hospitals, 4029, Brisbane, Australia.
出版信息
Childs Nerv Syst. 2004 Aug;20(8-9):601-6. doi: 10.1007/s00381-004-0990-7. Epub 2004 Jul 28.
INTRODUCTION
There are many problems facing the neurosurgeon when separating craniopagus twins. The condition is rare, with an incidence of 1 in 2.5 million births. As such there is a paucity of information in the literature regarding strategies for separation.
SURVIVAL RATES
Over the last 20 years, there has been a gradual improvement in survival rates due to a combination of improved imaging, surgical/anaesthetic techniques and postoperative care. Currently, survival rates following surgery are at 50-60%. More information regarding this condition is needed to make surgical separation a safer event.
AIM
The aim of this article is to discuss the preoperative work-up, technical details of surgery, postoperative care and lessons learned with respect to the separation of craniopagus twins.
引言
在分离颅联体双胞胎时，神经外科医生面临诸多问题。这种情况极为罕见，在每250万例出生中发生率为1例。因此，文献中关于分离策略的信息匮乏。
存活率
在过去20年里，由于成像技术、手术/麻醉技术及术后护理的改善，存活率有了逐步提高。目前，手术后的存活率为50% - 60%。需要更多关于这种情况的信息，以使手术分离更安全。
目的
本文旨在讨论颅联体双胞胎分离的术前检查、手术技术细节、术后护理及经验教训。
Zotero 插件