开放性胎儿脊髓脊膜膨出修复术的手术技术

Surgical techniques for open fetal repair of myelomeningocele.

作者信息

Gupta Nalin

机构信息

Departments of Neurological Surgery and Pediatrics, University of California San Francisco, 550 16th St., 4th Floor, San Francisco, CA, 94143-0137, USA.

出版信息

Childs Nerv Syst. 2017 Jul;33(7):1143-1148. doi: 10.1007/s00381-017-3439-5. Epub 2017 May 16.

DOI:10.1007/s00381-017-3439-5

PMID:28510071

Abstract

The current standard for fetal repair of myelomeningocele is an open exposure of the gravid uterus with control of the amniotic membranes, and then a multi-layer closure of the fetal defect. The nature of the surgical repair has evolved and requires a series of steps that take into account the delicate nature of the fetal tissues. The individual surgical steps are described including potential pitfalls.

摘要

目前胎儿脊髓脊膜膨出修复的标准方法是打开妊娠子宫，暴露羊膜并加以控制，然后对胎儿缺损进行多层缝合。手术修复的方式已经有所发展，需要一系列考虑到胎儿组织脆弱性的步骤。文中描述了各个手术步骤，包括潜在的陷阱。