Lepigeon K, Baud D
Unité de recherche en médecine materno-foetale et obstétrique, Département de gynécologie-obstétrique, HUV, 1011 Lausanne.
Rev Med Suisse. 2013 Oct 23;9(403):1959-60, 1962-4.
The better quality of fetal ultrasound imaging and the development of systematic pregnancy screening programmes allow an earlier detection of fetal anomalies. Most of these conditions can adequately be treated after birth. However, some fetal anomalies progress rapidly during fetal life and can lead to severe morbidity or fetal demise. For such cases, delivery is not an option since the fetus is not viable or delivery will add severe prematurity to the underlying pathology. This raises the question of fetal therapy, allowing curing or improving the condition in utero without to add prematurity. We provide here an overview the most common fetal therapies.
胎儿超声成像质量的提高以及系统孕期筛查项目的发展，使得胎儿异常能够被更早地检测出来。这些情况中的大多数在出生后都能得到妥善治疗。然而，一些胎儿异常在胎儿期进展迅速，可能导致严重的发病情况或胎儿死亡。对于此类情况，分娩并非一个选择，因为胎儿无法存活，或者分娩会给潜在的病理状况增加严重的早产因素。这就引发了胎儿治疗的问题，即能否在子宫内治愈或改善病情而不增加早产情况。我们在此概述最常见的胎儿治疗方法。
