双绒毛膜双羊膜囊双胎妊娠中的羊膜带综合征
Amniotic band syndrome in dichorionic diamniotic twin pregnancy.
作者信息
Krzyżanowski A, Kwiatek M, Gęca T, Barczyński B, Kwaśniewska A
机构信息
Department of Obstetrics and Pathology of Pregnancy Medical University of Lublin, Poland.
Department of Oncological Gynecology and Gynecology, Medical University of Lublin, Poland.
出版信息
Hippokratia. 2017 Jan-Mar;21(1):46-48.
BACKGROUND
Amniotic band syndrome (ABS) is a rare disorder which leads to a number of deformities of the fetus body. The treatment depends on the severity of the defect and the extent of the deformity.
CASE REPORT
A 36-year-old primigravida with a dichorionic diamniotic (DCDA) twin pregnancy was diagnosed during the first-trimester ultrasonography with fetal lower part edema of one twin caused by amniotic bands. A selective termination of the affected fetus was performed. The remainder part of the pregnancy was normal. A healthy newborn was delivered at term. After delivering the placenta, the presence of fetus papyraceus was detected. The amniotic bands were unidentifiable in the pathologist's examination. A reliable ultrasonographic diagnosis enables the detecting ABS in early pregnancy.
CONCLUSION
In the case of ABS in DCDA twin pregnancy, conducting a selective termination of the affected fetus creates the opportunity for the proper development of the healthy fetus as well as reaching its full maturity. HIPPOKRATIA 2017, 21(1): 46-48.
背景
羊膜带综合征（ABS）是一种罕见的疾病，可导致胎儿身体出现多种畸形。治疗方法取决于缺陷的严重程度和畸形的范围。
病例报告
一名36岁初产妇，怀有双绒毛膜双羊膜囊（DCDA）双胎妊娠，在孕早期超声检查时被诊断为其中一个胎儿因羊膜带导致下肢水肿。对受影响的胎儿进行了选择性终止妊娠。妊娠剩余部分正常。足月分娩出一名健康新生儿。胎盘娩出后，发现了纸样胎儿。病理学家检查未发现羊膜带。可靠的超声诊断能够在孕早期检测出ABS。
结论
对于DCDA双胎妊娠合并ABS的情况，对受影响的胎儿进行选择性终止妊娠为健康胎儿的正常发育及其足月成熟创造了机会。《希波克拉底》2017年，21(1): 46 - 48。
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