Glennon Chelsea L, Shemer Scott A, Palma-Dias Ricardo, Umstad Mark P
Department of Maternal Fetal Medicine,The Royal Women's Hospital,Melbourne,Victoria,Australia.
Twin Res Hum Genet. 2016 Jun;19(3):168-74. doi: 10.1017/thg.2016.27.
Historical suggestions of twin-to-twin transfusion syndrome (TTTS) date back to the early 17th century. Placental anastomoses were first reported in 1687; however, it was Schatz who first identified their importance in 1875. He recognized 'the area of transfusion' within the 'villous district' of the placenta, which he named the 'third circulation'. This article describes how the management of TTTS has evolved as we have gained a more sophisticated understanding and appreciation of the complex vascular anastomoses that exist in monochorionic twin placentae. Currently, fetosopic laser occlusion is the preferred treatment option for TTTS.
双胎输血综合征（TTTS）的历史记载可追溯到17世纪初。胎盘吻合术于1687年首次报道；然而，1875年沙茨首次认识到其重要性。他在胎盘的“绒毛区”内识别出“输血区域”，并将其命名为“第三循环”。本文描述了随着我们对单绒毛膜双胎胎盘复杂血管吻合的更深入理解和认识，TTTS的治疗是如何发展的。目前，胎儿镜激光封堵术是TTTS的首选治疗方案。
