Ronderos-Dumit D, Briceño F, Navarro H, Sanchez N
Diagnostico Prenatal, Clínica Materno-Infantil Farallones, Cali, Colombia.
Fetal Diagn Ther. 2006;21(3):255-8. doi: 10.1159/000091351.
Amniotic band syndrome is a sporadic condition that may result in constriction bands, amputation and multiple craniofacial, visceral and body wall defects. It occurs in 1/1,200 to 1/15,000 live births. Most cases present with multiple congenital anomalies that are incompatible with life. A small group of fetuses shows isolated limb constrictions that may cause severe limb dysfunction or limb amputation if left untreated. Successful in utero surgical lyses of constriction rings have been reported. We report a case of constriction amniotic bands involving both legs and compromising blood flow to the distal extremity. The constriction ring was successfully released by a minimally invasive endoscopic surgical technique avoiding severe limb dysfunction or foot amputation.
羊膜带综合征是一种散发性疾病，可导致束带、截肢以及多发的颅面、内脏和体壁缺损。其发生率为1/1200至1/15000活产儿。大多数病例表现为多发的先天性畸形，常与生命不相容。一小部分胎儿表现为孤立的肢体束带，如果不治疗可能导致严重的肢体功能障碍或肢体截肢。已有子宫内成功进行束带环手术松解的报道。我们报告一例累及双腿且影响远端肢体血流的束带性羊膜带病例。通过微创内镜手术技术成功松解了束带环，避免了严重的肢体功能障碍或足部截肢。
