Chang Yao-Lung, Chao An-Shine, Hsieh Peter C C, Chang Shuenn-Dyh, Soong Yung-Kuei
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University College of Medicine Taoyuan, Taoyuan, Taiwan, ROC.
Fetal Diagn Ther. 2007;22(3):180-2. doi: 10.1159/000098712. Epub 2007 Jan 16.
Chorioamniotic membrane separation (CMS) means that the close attachment of amniotic and chorionic membranes is disrupted, usually following the traumatic entry into the amniotic cavity including fetal therapy. We report a case of twin-twin transfusion syndrome receiving fetoscopic guide laser therapy at gestational age of 19 weeks with partial CMS detected at the fifth week (gestational age of 24 weeks) after surgery and resealed 1 week later. There was no more CMS noted till delivery at gestational age of 34 weeks 6 days. CMS after fetoscope surgery may reseal spontaneously.
绒毛膜羊膜分离(CMS)是指羊膜和绒毛膜的紧密附着被破坏,通常发生在包括胎儿治疗在内的外伤性进入羊膜腔之后。我们报告了一例双胎输血综合征病例,在孕19周时接受了胎儿镜引导下的激光治疗,术后第5周(孕24周)检测到部分CMS,1周后重新封闭。直到孕34周6天分娩时,未再发现CMS。胎儿镜手术后的CMS可能会自发重新封闭。