Paediatric Surgery Department, Hospital Sant Joan de Déu, 08950 Esplugues de Llobregat, Universitat de Barcelona, Spain.
J Pediatr Surg. 2010 Jan;45(1):E5-8. doi: 10.1016/j.jpedsurg.2009.09.033.
Twin-to-twin transfusion syndrome (TTTS) occurs in 9% of monochorionic twin pregnancies. An imbalanced blood flow across placental vascular communications produces a hypovolemic condition in the donor fetus and hypervolemia in the recipient fetus, leading to a variety of postnatal complications. We report 3 cases of intestinal injury in TTTS after fetoscopic laser ablation of the communicating vessels: 2 cases of intestinal atresia, and 1 case of necrotizing enterocolitis of 1 twin. Intestinal ischemic diseases have been reported after prenatal laser treatment in TTTS; with this report, we add 3 more cases.
双胎输血综合征（TTTS）发生在 9%的单绒毛膜双胎妊娠中。胎盘血管交通之间的不平衡血流导致供体胎儿低血容量和受体胎儿高血容量，导致各种产后并发症。我们报告了 3 例 TTTS 胎儿镜下激光消融血管吻合术后的肠损伤：2 例肠闭锁，1 例 1 个胎儿坏死性小肠结肠炎。TTTS 产前激光治疗后曾有报道发生肠缺血性疾病；通过本报告，我们增加了 3 例。
