双胎妊娠中合并美人鱼综合征异常胎儿的成功期待管理：一例报告及文献综述
Successful Expectant Management of the Anomalous Fetus with Sirenomelia in Twin Pregnancy: A Case Report and Literature Review.
作者信息
Tilahun Temesgen, Desta Dawit
机构信息
Department of Obstetrics & Gynecology, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Department of Emergency Surgery, Gynecology, and Obstetrics, Arjo Hospital, Arjo, Ethiopia.
出版信息
Int Med Case Rep J. 2021 Apr 9;14:229-232. doi: 10.2147/IMCRJ.S300318. eCollection 2021.
BACKGROUND
Sirenomelia is a rare congenital defect. Its management during pregnancy and after delivery is becoming a controversial issue because of its complex nature and management outcome. The possibility of expectant management in the sirenomelia twin drove us to write this case report.
CASE PRESENTATION
We report a case of successful expectant management in twin sirenomelia which was diagnosed in the second trimester. Prenatal counseling of the couple by a multi-disciplinary team regarding the diagnosis, treatment, and prognosis of the sirenomelia twin was done. The mother gave birth, at term, to one normal and one sirenomelia neonate by cesarean section.
CONCLUSION
Expectant management of sirenomelia one in twin pregnancy is advisable in a resource-limited setting.
背景
美人鱼综合征是一种罕见的先天性缺陷。由于其性质复杂及治疗结果，孕期及产后对其的处理正成为一个有争议的问题。美人鱼综合征双胎中期待治疗的可能性促使我们撰写本病例报告。
病例报告
我们报告一例双胎美人鱼综合征期待治疗成功的病例，该病例在孕中期被诊断。一个多学科团队就美人鱼综合征双胎的诊断、治疗及预后对这对夫妇进行了产前咨询。母亲足月时通过剖宫产分娩出一名正常新生儿和一名患有美人鱼综合征的新生儿。
结论
在资源有限的情况下，双胎妊娠中对其中一胎美人鱼综合征进行期待治疗是可取的。
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