Baumgarten Heron D, Flake Alan W
Department of Surgery, Abramson Research Center, Room 1116B, 3615 Civic Center Boulevard, Philadelphia, PA 19104-4318, USA.
Department of Surgery, Abramson Research Center, Room 1116B, 3615 Civic Center Boulevard, Philadelphia, PA 19104-4318, USA.
Pediatr Clin North Am. 2019 Apr;66(2):295-308. doi: 10.1016/j.pcl.2018.12.001.
Fetal surgery is an established but still rapidly evolving specialty, born from the rationale that destructive embryologic processes, recognized early in gestation, can be curtailed by prenatal correction. As more and more centers begin offering fetal interventions, quality of care must be verified through transparency about clinical capabilities and resources. Level designations should be assigned based on capability, as in trauma and neonatal ICU centers for excellence, and volume requirements must be set for fetal surgery certification. Regionalization of this specialty care may be required to optimize outcomes.
胎儿外科是一个已确立但仍在迅速发展的专业领域，其诞生基于这样的理念：在妊娠早期识别出的胚胎破坏性过程可通过产前矫正加以遏制。随着越来越多的中心开始提供胎儿干预措施，必须通过临床能力和资源的透明度来验证医疗质量。应根据能力指定级别，就像在创伤和新生儿重症监护卓越中心那样，并且必须为胎儿外科认证设定手术量要求。可能需要对这种专科护理进行区域化安排以优化治疗效果。
