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羊膜带松解术治疗胎儿截肢风险:病例报告及文献复习。

Fetoscopic release of an amniotic band with risk of amputation: case report and review of the literature.

机构信息

Department of Obstetrics and Gynaecology, University Hospitals of Leuven, Leuven, Belgium.

出版信息

Fetal Diagn Ther. 2012;31(2):134-7. doi: 10.1159/000335026. Epub 2012 Jan 14.

Abstract

Amniotic bands can cause limb amputation as well as intrauterine fetal demise. Fetoscopic release of amniotic bands has been shown to rescue limb function. Herein, we describe an interesting case of an amniotic band wrapped around the right forearm as well as the umbilical cord, which was released by fetoscopy. Following the procedure, the blood flow in the forearm was restored and the edema gradually reduced. Full functionality of the arm was confirmed after birth, though the esthetic problem of the imprint of the band on the arm persisted. Furthermore, we review the available literature regarding fetoscopic interventions in amniotic band syndrome.

摘要

羊膜带可导致肢体截肢和宫内胎儿死亡。羊膜镜下释放羊膜带已被证明可以挽救肢体功能。在此,我们描述了一个有趣的病例,羊膜带缠绕在右前臂和脐带周围,通过羊膜镜进行了释放。手术后,前臂的血流得到恢复,水肿逐渐减轻。出生后手臂的全部功能得到确认,但手臂上的羊膜带印记仍存在美观问题。此外,我们还回顾了关于羊膜带综合征的羊膜镜干预的现有文献。

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