Vilar Coromina N, Vicente Villa A, Puigarnau Vallhonrat R, Vela Martínez A, González Enseñat M A
Sección de Dermatología, Hospital Sant Joan de Déu-Hospital Clínic, Universitat de Barcelona, España.
An Pediatr (Barc). 2007 Apr;66(4):407-9. doi: 10.1157/13101246.
Second trimester amniocentesis is widely used for the prenatal diagnosis of congenital disorders. Direct fetal injury from needle puncture can cause cutaneous scarring and rarely leads to severe visceral complications. Before the advent of real-time ultrasonography, the incidence of cutaneous lesions after amniocentesis ranged from 0.1 % to 9 % in the different series. Few reports of cutaneous lesions after amniocentesis have been published since the advent of real-time ultrasonography, although the real incidence is unknown. Eight children with typical skin dimpling caused by needle puncture during second trimester amniocentesis are presented. Current amniocentesis has not completely eliminated the risk of needle puncture scarring of the fetus. Dermatologists, pediatricians and obstetricians should be aware of this complication, which may have medical and legal consequences.
孕中期羊膜穿刺术广泛用于先天性疾病的产前诊断。穿刺针直接造成的胎儿损伤可导致皮肤瘢痕形成，很少会引发严重的内脏并发症。在实时超声检查出现之前，不同系列报道的羊膜穿刺术后皮肤损伤发生率在0.1%至9%之间。自实时超声检查出现以来，关于羊膜穿刺术后皮肤损伤的报道很少，尽管实际发生率尚不清楚。本文报告了8例孕中期羊膜穿刺术时因穿刺针导致典型皮肤凹陷的患儿。目前的羊膜穿刺术尚未完全消除胎儿穿刺针瘢痕形成的风险。皮肤科医生、儿科医生和产科医生应意识到这种并发症，其可能会产生医疗和法律后果。
