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成功的胎儿宫内治疗后母体镜像综合征的缓解:病例系列。

Resolution of maternal Mirror syndrome after succesful fetal intrauterine therapy: a case series.

机构信息

Department of Genetics, Reproduction, and Fetal Medicine, Institute of Biomedicine of Seville (IBIS), Hospital Universitario Virgen del Rocio/CSIC/University of Seville, Seville, Spain.

Centre for Biomedical Network Research on Rare Diseases (CIBERER), Seville, Spain.

出版信息

BMC Pregnancy Childbirth. 2018 Apr 6;18(1):85. doi: 10.1186/s12884-018-1718-0.

DOI:10.1186/s12884-018-1718-0
PMID:29625560
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5889608/
Abstract

BACKGROUND

Mirror syndrome (MS) is a rare obstetric condition usually defined as the development of maternal edema in association with fetal hydrops. The pathogenesis of MS remains unclear and may be misdiagnosed as pre-eclampsia.

CASE PRESENTATION

We report a case series of MS in which fetal therapy (intrauterine blood transfusion and pleuroamniotic shunt) resulted in fetal as well as maternal favourable course with complete resolution of the condition in both mother and fetus.

CONCLUSIONS

Our case series add new evidence to support that early diagnosis of MS followed by fetal therapy and clinical maternal support are critical for a good outcome.

摘要

背景

镜像综合征(MS)是一种罕见的产科病症,通常定义为母体水肿与胎儿水肿同时发生。MS 的发病机制尚不清楚,可能被误诊为先兆子痫。

病例介绍

我们报告了一系列 MS 病例,胎儿治疗(宫内输血和胸羊水分流)导致胎儿和母体均出现良好的病程,母婴状况均完全缓解。

结论

我们的病例系列为支持早期诊断 MS,随后进行胎儿治疗和临床母体支持对于良好结局至关重要这一观点提供了新的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5889608/cfc74de329c8/12884_2018_1718_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5889608/14a3c0c7029f/12884_2018_1718_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5889608/0d320cbf69f9/12884_2018_1718_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5889608/cfc74de329c8/12884_2018_1718_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5889608/14a3c0c7029f/12884_2018_1718_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5889608/0d320cbf69f9/12884_2018_1718_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5889608/cfc74de329c8/12884_2018_1718_Fig3_HTML.jpg

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本文引用的文献

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[Mirror syndrome is a rare complication in pregnancy, characterized by oedema and hydrops fetalis].镜像综合征是妊娠中的一种罕见并发症,其特征为水肿和胎儿水肿。
Ugeskr Laeger. 2017 Apr 10;179(15).
2
Characteristics and management of mirror syndrome: a systematic review (1956-2016).镜像综合征的特征与管理:一项系统综述(1956 - 2016年)
J Perinat Med. 2017 Dec 20;45(9):1013-1021. doi: 10.1515/jpm-2016-0422.
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Mirror Syndrome after Fetoscopic Laser Treatment - A Case Report.胎儿镜激光治疗后镜面综合征——病例报告
Rev Colomb Obstet Ginecol. 2021 Sep 30;72(3):298-306. doi: 10.18597/rcog.3659.
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Late-Onset Mirror Syndrome.迟发性镜像综合征
Malays Fam Physician. 2021 Feb 15;16(1):129-132. doi: 10.51866/cr1099. eCollection 2021 Mar 25.
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Fetal Diagnosis and Therapy during the COVID-19 Pandemic: Guidance on Behalf of the International Fetal Medicine and Surgery Society.2019冠状病毒病大流行期间的胎儿诊断与治疗:代表国际胎儿医学与外科学会发布的指南
Fetal Diagn Ther. 2020;47(9):689-698. doi: 10.1159/000508254. Epub 2020 May 6.
6
The diagnostic conundrum of maternal mirror syndrome progressing to pre-eclampsia - A case report.母源性镜像综合征进展为子痫前期的诊断难题——一例报告
Case Rep Womens Health. 2019 May 14;23:e00122. doi: 10.1016/j.crwh.2019.e00122. eCollection 2019 Jul.
7
Foetal surgery: Anaesthetic implications and strategic management.胎儿手术:麻醉影响与策略管理。
Indian J Anaesth. 2018 Sep;62(9):717-723. doi: 10.4103/ija.IJA_551_18.
Rev Bras Ginecol Obstet. 2016 Nov;38(11):576-579. doi: 10.1055/s-0036-1593895. Epub 2016 Dec 22.
4
Spontaneous resolution of mirror syndrome following fetal interventions for fetal anemia as a consequence of twin to twin transfusion syndrome.由于双胎输血综合征导致胎儿贫血,在进行胎儿干预后,镜像综合征自然消退。
Eur J Obstet Gynecol Reprod Biol. 2017 Jan;208:110-111. doi: 10.1016/j.ejogrb.2016.11.023. Epub 2016 Nov 23.
5
Ballantyne Syndrome (Mirror Syndrome) associated with severe non-immune fetal hydrops--a case report.与严重非免疫性胎儿水肿相关的巴兰坦综合征(镜像综合征)——病例报告
Ginekol Pol. 2015 Sep;86(9):706-11. doi: 10.17772/gp/57845.
6
Mirror syndrome associated with heart failure in a pregnant woman: a case report.一名孕妇中与心力衰竭相关的镜像综合征:病例报告
Int J Clin Exp Med. 2015 Sep 15;8(9):16132-6. eCollection 2015.
7
Anesthetic management of a parturient with mirror syndrome: a case report.一例镜像综合征产妇的麻醉管理:病例报告
Int J Clin Exp Med. 2015 Aug 15;8(8):14161-5. eCollection 2015.
8
Reversal of mirror syndrome after selective feticide of a hydropic fetus in a dichorionic diamniotic twin pregnancy.双绒毛膜双羊膜囊双胎妊娠中,对水肿胎儿进行选择性减胎术后镜面综合征的逆转。
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9
Society for maternal-fetal medicine (SMFM) clinical guideline #7: nonimmune hydrops fetalis.美国母胎医学会(SMFM)临床指南 #7:非免疫性胎儿水肿。
Am J Obstet Gynecol. 2015 Feb;212(2):127-39. doi: 10.1016/j.ajog.2014.12.018. Epub 2014 Dec 31.
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