单绒毛膜双羊膜囊双胎伴毗邻脐带插入：影像与结局

Monochorionic Diamniotic Twins with Bordering Cord Insertions: Images and Outcome.

作者信息

Pop Lucian G, Piron Madalina, Radoi Viorica, Bacalbasa Nicolae, Toader Oana D

机构信息

National Institute of Mother and Child Care Alessandrescu-Rusescu, 020395 Bucharest, Romania.

Department of Obstetrics and Gynecology, University of Medicine and Pharmacy Carol Davila, 050474 Bucharest, Romania.

出版信息

Diagnostics (Basel). 2022 Apr 14;12(4):985. doi: 10.3390/diagnostics12040985.

DOI:10.3390/diagnostics12040985

PMID:35454032

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9029486/

Abstract

Twin pregnancy contributes to perinatal mortality, particularly monochorionic diamniotic twin pregnancy. Placental abnormalities are much more common in twin pregnancies than in singletons. In MCDA pregnancy, vascular anastomoses are always present and are accountable for severe complications such as Twin-to-Twin transfusion syndrome (TTTS). In TTTS, umbilical cords are usually inserted at a distance from each other. We present a rare type of MCDA pregnancy, TTTS gr 1 case with bordering umbilical cord insertions.

摘要

双胎妊娠会增加围产期死亡率，尤其是单绒毛膜双羊膜囊双胎妊娠。双胎妊娠中胎盘异常比单胎妊娠更为常见。在单绒毛膜双羊膜囊妊娠中，血管吻合总是存在的，并且是导致诸如双胎输血综合征（TTTS）等严重并发症的原因。在双胎输血综合征中，脐带通常彼此相距一定距离插入。我们报告了一种罕见类型的单绒毛膜双羊膜囊妊娠，即1级双胎输血综合征合并毗邻脐带插入的病例。