无心双胎妊娠病例中酒精消融宫内治疗成功。

Successful intrauterine treatment with alcohol ablation in a case of acardiac twin pregnancy.

作者信息

Gul Ahmet, Cebeci Altan, Yildirim Gokhan, Aslan Halil, Ceylan Yavuz

机构信息

Maternal and Fetal Unit, Department of Obstetrics and Gynecology, Istanbul SSK Bakirkoy Women and Children Hospital, Istanbul, Turkey.

出版信息

J Perinatol. 2005 May;25(5):352-5. doi: 10.1038/sj.jp.7211261.

DOI:10.1038/sj.jp.7211261

PMID:15861201

Abstract

Acardiac twinning is a rare obstetric condition unique to monochorionic twin gestation and the pump twin has high perinatal mortality. We report an acardiac twin pregnancy, in which the pump twin presented with intrauterine growth restriction and oligohydramnios, and grossly hydropic acardiac fetus measured 12 x 14 x 18 cm, and with no cardiac activity at 27 weeks of gestation. We treated the acardiac fetus with 1 ml alcohol ablation in utero, and delivered a live male baby weighing 1750 g at 36 weeks' gestation.

摘要

无心双胎是单绒毛膜双胎妊娠特有的一种罕见产科情况，供血胎儿围产期死亡率高。我们报告一例无心双胎妊娠，其中供血胎儿出现宫内生长受限和羊水过少，巨大水肿的无心胎儿大小为12×14×18厘米，妊娠27周时无心脏活动。我们在子宫内用1毫升酒精消融治疗无心胎儿，并在妊娠36周时分娩出一名体重1750克的活男婴。