Gedikbasi Ali, Oztarhan Kazim, Gunenc Ziya, Yildirim Gokhan, Arslan Oguz, Yildirim Dogukan, Ceylan Yavuz
Istanbul Bakirkoy Maternity and Children Diseases Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
Hypertens Pregnancy. 2011;30(3):322-30. doi: 10.3109/10641950903323244. Epub 2010 Dec 21.
Mirror syndrome (Ballantyne's syndrome) refers to the association of fetal hydrops and maternal preeclampsia. The aim of this study was to determine the relation and incidence between fetal hydrops and preeclampsia in our clinic.
A retrospective review of patients associated with fetal hydrops and findings with preeclampsia was used. Seventy-five cases with single pregnancy and diagnoses with nonimmune hydrops fetalis were found. According to the data 4 cases were found related with preeclampsia.
Mirror syndrome is rarely encountered and underdiagnosed. We found a frequency of 5.3% (4 cases in 75 affected pregnancies) for single non-immune hydrops cases in which maternal hypertension occurred. Fetal outcome is depending on etiology and prognosis is mainly very low. Maternal symptoms and laboratory findings are resolving after intrauterine fetal death or delivery.
Hydrops fetalis must be considered as a potential risk factor for preeclampsia. It is important that this clinical condition has a potential of about 5% for proceeding preeclampsia.
镜像综合征(巴兰坦综合征)指胎儿水肿与母体先兆子痫的关联。本研究的目的是确定我院胎儿水肿与先兆子痫之间的关系及发生率。
对伴有胎儿水肿的患者及先兆子痫的检查结果进行回顾性分析。共发现75例单胎妊娠且诊断为非免疫性胎儿水肿的病例。根据数据,发现4例与先兆子痫有关。
镜像综合征很少见且诊断不足。我们发现单胎非免疫性水肿病例中,出现母体高血压的频率为5.3%(75例受影响妊娠中有4例)。胎儿结局取决于病因,预后通常很差。胎儿宫内死亡或分娩后,母体症状和实验室检查结果会消失。
胎儿水肿必须被视为先兆子痫的潜在危险因素。重要的是,这种临床情况发展为先兆子痫的可能性约为5%。