使用组织黏合剂成功消融无心双胎。

Successful ablation of acardiac twin with Histoacryl.

作者信息

Ferianec Vladimír, Redecha Mikuláš, Papcun Peter, Križko Marián, Hollý Ivan, Holomáň Karol

机构信息

Department of Gynaecology and Obstetrics, Comenius University, Bratislava, Slovakia.

出版信息

Taiwan J Obstet Gynecol. 2016 Feb;55(1):109-11. doi: 10.1016/j.tjog.2014.04.033.

DOI:10.1016/j.tjog.2014.04.033

PMID:26927260

Abstract

OBJECTIVE

Acardiac twin occurs in 1:35,000 pregnancies. Several techniques have been described to treat this condition. Some techniques have been suggested as golden standard; however, new are still being tried.

CASE REPORT

This is a case of a 32-year-old patient who had successful ablation of the acardiac twin with Histoacryl. The diagnosis of the acardiac twin was made in the 11 weeks + 3 weeks of pregnancy. Due to the development of myocardial hypertrophy and pericardial transudate of the pumping fetus, we had performed ablation of the acardiac twin with Histoacryl in the 21 weeks' +5 weeks' gestation. The procedure was uneventful, and the healthy fetus had no signs of distress. In the 33 weeks' +5 weeks' gestation, she had Cesarean section due to distress of the healthy fetus. The female baby was healthy, weighing 2380 g, Apgar score 9/10. The mummified mass of acardiac fetus weighted 300 g. Nine months later, the child is doing well.

CONCLUSION

Histoacryl is suitable for the ablation of an acardiac twin. Further studies are needed to prove the efficacy of this technique.

摘要

目的

无心双胎的发生率为1/35000。已有多种治疗该病症的技术被描述。一些技术被视为金标准；然而，仍在尝试新的技术。

病例报告

这是一例32岁患者，其使用组织黏合剂成功消融无心双胎。无心双胎在妊娠11周+3周时被诊断出来。由于泵血胎儿出现心肌肥厚和心包渗出，我们在妊娠21周+5周时用组织黏合剂对无心双胎进行了消融。手术过程顺利，健康胎儿无窘迫迹象。在妊娠33周+5周时，因健康胎儿窘迫行剖宫产。女婴健康，体重2380g，阿氏评分9/10。无心胎儿的干尸化肿块重300g。9个月后，孩子情况良好。