Al Rabeeah Abdullah
Division of Pediatric Surgery, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Kingdom of Saudi Arabia.
J Pediatr Surg. 2006 May;41(5):1000-4. doi: 10.1016/j.jpedsurg.2005.12.045.
BACKGROUND/PURPOSE: Conjoined twins are rare and complex anomalies of the newborn. They require a highly experienced team and a center equipped to deal with such challenging anatomy.
A review of 31 sets of conjoined twins was managed by one team over a 15-year period. The spectrum of the anomalies, management strategies, and outcomes will be analyzed with future recommendations.
Ten sets of complete conjoined twins and two sets of parasitic conjoined twins were successfully separated. Tissue expanders and prosthetic meshes were not required. A separation of one set of craniopagus parasiticus conjoined twins was attempted, but abandoned owing to major vascular and brain sharing. The remaining 18 sets were not separable owing to major cardiac anomalies and/or sharing, and all died within several weeks of birth.
Careful planning, a multidisciplinary approach, rehearsal, and experience are important factors in dealing with conjoined twins. Tissue expanders and prosthetic meshes are not required in most cases. Selective abortion or fetal intervention may play a role in the future.
背景/目的：联体双胎是新生儿罕见且复杂的畸形。它们需要一个经验丰富的团队以及配备有处理此类具有挑战性解剖结构能力的中心。
一个团队在15年期间管理了31例联体双胎病例。将对畸形的范围、管理策略及结果进行分析并给出未来建议。
10例完全性联体双胎和2例寄生性联体双胎成功分离。无需使用组织扩张器和人工补片。尝试分离1例寄生性颅联体双胎，但因主要血管和脑共享而放弃。其余18例因主要心脏畸形和/或共享而无法分离，均在出生后数周内死亡。
精心规划、多学科方法、预演和经验是处理联体双胎的重要因素。大多数情况下无需使用组织扩张器和人工补片。选择性流产或胎儿干预未来可能发挥作用。
