Michejda M, Queenan J T, McCullough D
Am J Obstet Gynecol. 1986 Oct;155(4):873-82. doi: 10.1016/s0002-9378(86)80043-6.
At a time when the intrauterine diagnosis of hydrocephalus is common and pioneering efforts of antenatal therapy are evolving, an assessment of intrauterine treatment of this disorder becomes pertinent. Consequently, the current status of the intrauterine treatment of fetal hydrocephalus is presented. The new data from the International Fetal Surgery Registry at the University of Manitoba in Winnipeg are discussed. The technical problems of antenatal shunting, the clinical trials, and experimental treatment are assessed. The prognostication and possible new approaches in intrauterine treatment of hydrocephalus are presented as well as the new diagnostic and surgical techniques. The outcome of the antenatal diagnosis and treatment of fetal hydrocephalus is evaluated.
在脑积水宫内诊断已很常见且产前治疗的开创性工作不断发展的当下，对这种病症的宫内治疗进行评估就变得很有必要。因此，本文介绍了胎儿脑积水宫内治疗的现状。讨论了位于温尼伯的曼尼托巴大学国际胎儿外科登记处的新数据。评估了产前分流的技术问题、临床试验和实验性治疗。介绍了脑积水宫内治疗的预后及可能的新方法，以及新的诊断和手术技术。还评估了胎儿脑积水产前诊断和治疗的结果。
