Guzmán-Santos Ingrid Yosheleen, Domínguez-Moreno Rogelio, Muñoz-Delgado Marcela, Martínez-Quintana José Daniel
Secretaría de Salud del Estado de Veracruz, Jurisdicción X, San Andrés Tuxtla, Veracruz.
Ginecol Obstet Mex. 2013 Jun;81(6):353-6.
Amniotic band syndrome was first described in 1832 by Montgomery, and is characterized by constriction bands that can reach limb amputation.
We report the case of a male neonate born from 17 years old mother, first pregnancy with premature rupture of membranes and eight days of evolution. He was born premature and required resuscitation, with good response. During physical examination injuries by amniotic band in right lower limb and minimal alterations in the left were observed. The most severe injury was amputated and the outcome was favorable so the patient was discharged from the hospital.
The frequency of this syndrome is relatively low and, apparently, is caused by extrinsic factors such as rupture of membranes. Prenatal diagnosis is possible by prenatal ultrasound and treatment depends on the severity of the injury and tissue viability postbrida. Adequate prenatal control is recommended to pregnant patients, especially those with risk factors coupled with ultrasonic control. Treatment of such patients should be multidisciplinary.
羊膜带综合征于1832年由蒙哥马利首次描述,其特征为可导致肢体截肢的紧缩带。
我们报告一例男婴,其母亲17岁,首次怀孕,胎膜早破,孕期8天。他早产,需要复苏,反应良好。体格检查时发现右下肢有羊膜带损伤,左下肢有轻微改变。最严重的损伤部位被截肢,预后良好,因此患者出院。
该综合征的发病率相对较低,显然是由胎膜破裂等外在因素引起的。产前超声可进行产前诊断,治疗取决于损伤的严重程度和断端组织的活力。建议对孕妇进行充分的产前检查,尤其是有危险因素的孕妇,并结合超声检查。此类患者的治疗应是多学科的。