Chan Fung Yee
Mater Centre for Maternal Fetal Medicine, University of Queensland, Mater Mothers' Hospital, South Brisbane, Queensland 4101, Australia.
J Telemed Telecare. 2007;13(4):167-71. doi: 10.1258/135763307780908030.
Advanced fetal diagnosis with real-time, high resolution ultrasound and fetal therapy with fetoscopic surgery represent the state-of-the-art in the subspecialty of fetal medicine. They allow accurate diagnosis of the fetal condition, multidisciplinary support for management, and in utero treatment, thereby significantly reducing perinatal mortality and morbidity. Such expertise is only available in a small number of advanced fetal medicine centres. We have used telemedicine for tertiary real-time fetal ultrasound consultation and shown not only that it is technically feasible, but that it is welcomed by the clinicians and patients involved. We have also used telemedicine for educational purposes, linking with an advanced fetoscopic centre on another continent to shorten our learning curve for this new form of fetal treatment. With the increasing availability of broadband communication, telemedicine should become an important tool in both clinical practice and education, and enable communities living anywhere in the world to benefit from fetal medicine.
采用实时、高分辨率超声进行的高级胎儿诊断以及胎儿镜手术的胎儿治疗代表了胎儿医学亚专业的最新技术水平。它们能够准确诊断胎儿状况，为管理提供多学科支持，并进行宫内治疗，从而显著降低围产期死亡率和发病率。这种专业技能仅在少数先进的胎儿医学中心具备。我们已将远程医疗用于三级实时胎儿超声会诊，结果表明它不仅在技术上可行，而且受到相关临床医生和患者的欢迎。我们还将远程医疗用于教育目的，与另一大洲的一个先进胎儿镜中心建立联系，以缩短我们对这种新型胎儿治疗方法的学习曲线。随着宽带通信的日益普及，远程医疗应成为临床实践和教育中的重要工具，并使世界上任何地方的社区都能从胎儿医学中受益。
