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虚拟三维胎盘镜检查:一种评估双胎输血综合征激光光凝术后残余吻合支的新方法。

Virtual three-dimensional placentoscopy: a new approach to assess residual anastomoses following laser photocoagulation in twin-to-twin transfusion syndrome.

作者信息

Galluzo Roberto Noya, Franco Mario Júlio, Faust Leila Wessler, Dacorégio Karine Souza, Braga Jair Roberto da Silva, Werner Junior Heron, Araujo Júnior Edward

机构信息

a Department of Radiology, SONITEC - Imaging Medical Diagnostic , Florianopolis , SC , Brazil.

b Department of Obstetrics and Gynecology , Federal University of Santa Catarina (UFSC) , Florianópolis , SC , Brazil.

出版信息

J Matern Fetal Neonatal Med. 2018 Feb;31(4):518-520. doi: 10.1080/14767058.2017.1286321. Epub 2017 Feb 9.

DOI:10.1080/14767058.2017.1286321
PMID:28114847
Abstract

Twin-to-twin transfusion syndrome (TTTS) complicates 10% of monochorionic twin pregnancies and it is consequence of an unbalanced exchange blood through the vascular anastomoses at placental surface. If not treated, mortality rates in TTTS may be as high as 80-100%. Laser photocoagulation of the placental anastomoses is the first treatment option; however, in some situations, the damage of the placenta in the postpartum may become difficult the residual anastomoses identification. We propose a new non-invasive technique to assess the residual anastomoses using computed tomography (CT) scan data to generate a three-dimensional (3D) virtual placentoscopy.

摘要

双胎输血综合征(TTTS)在10%的单绒毛膜双胎妊娠中出现并发症,它是通过胎盘表面血管吻合处进行的不平衡血液交换的结果。如果不进行治疗,TTTS的死亡率可能高达80%-100%。胎盘吻合处的激光光凝是首选治疗方法;然而,在某些情况下,产后胎盘的损伤可能会使识别残留的吻合处变得困难。我们提出一种新的非侵入性技术,利用计算机断层扫描(CT)扫描数据来评估残留的吻合处,以生成三维(3D)虚拟胎盘镜检查。

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