Hoyle R M, Thomas C G
Department of Surgery, School of Medicine, University of North Carolina, Chapel Hill.
Ann Surg. 1989 Nov;210(5):673-9. doi: 10.1097/00000658-198911000-00017.
This paper presents a 23-year follow-up of the separation of ischiopagus tetrapus conjoined twins reported in Annals of Surgery in December 1966. One twin died of septicemia at age 2 years after bilateral pelvic osteotomies for the treatment of her marked pelvic diastasis. The surviving twin has done reasonably well, and her most significant problem is related to her musculoskeletal system. She has an increasing T7-10, L-1 apex right congenital scoliosis with wedged vertebra at T-10, as well as marked pubic diastasis and bilateral subluxation of her hips. This has resulted in a somewhat aberrant physical appearance and a "waddling" gait. Her colostomy functions well and she has normal renal and bladder function. This patient's history illustrates that many problems remain after successful separation of conjoined twins. However these problems are manageable and do not preclude the possibility that such a patient may be a productive member of society.
本文介绍了1966年12月发表于《外科年鉴》的关于坐骨连体四胞胎联体双胞胎分离术后23年的随访情况。其中一个双胞胎在2岁时因双侧骨盆截骨术治疗严重骨盆分离而死于败血症。存活的双胞胎情况尚可，她最主要的问题与肌肉骨骼系统有关。她患有逐渐加重的T7 - 10、L - 1右侧先天性脊柱侧弯，T - 10椎体呈楔形，同时伴有明显的耻骨分离和双侧髋关节半脱位。这导致了她有些异常的外貌和“摇摆”步态。她的结肠造口功能良好，肾脏和膀胱功能正常。该患者的病史表明，连体双胞胎成功分离后仍存在许多问题。然而，这些问题是可以控制的，并不排除这样的患者成为社会有贡献成员的可能性。
