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产前诊断的外科情况:胎儿作为我们的患者。

Antenatally Diagnosed Surgical Conditions: Fetus As Our Patient.

机构信息

Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.

出版信息

Indian J Pediatr. 2018 Dec;85(12):1101-1109. doi: 10.1007/s12098-018-2732-y. Epub 2018 Jul 3.

Abstract

In today's era of improved antenatal care and screening modalities (3D high-resolution fetal ultrasound, fetal magnetic resonance imaging, fetal echocardiography, maternal serum markers and fetal blood sampling), an early diagnosis of surgical fetal abnormalities is routinely possible. A thorough knowledge about the incidence of such defects, the means of detection and evaluation, the scope of fetal intervention, postnatal management and long-term outcomes of common surgical conditions diagnosed antenatally is essential. This knowledge would not only help in proper patient care and management but also to ensure appropriate counselling of the expectant parents. This article highlights the fetal anomalies which are amenable to some form of fetal intervention from a pediatric surgical perspective as also those which can be treated after birth.

摘要

在当今产前保健和筛查方式(3D 高分辨率胎儿超声、胎儿磁共振成像、胎儿超声心动图、母体血清标志物和胎儿血液取样)不断改进的时代,对胎儿外科异常的早期诊断已成为常规。详细了解这些缺陷的发生率、检测和评估方法、胎儿干预的范围、产前诊断的常见外科疾病的产后管理和长期结果至关重要。这些知识不仅有助于提供适当的患者护理和管理,还可以确保对预期父母进行适当的咨询。本文从小儿外科的角度强调了那些可以通过某种形式的胎儿干预来治疗,以及那些可以在出生后治疗的胎儿畸形。

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