胎儿镜下SOLOMON技术治疗双胎输血综合征后胎盘破裂：2例报告
Placental rupture after fetoscopic SOLOMON technique for twin-twin transfusion syndrome: 2 cases report.
作者信息
Xu Xiaochuan, Qin Feng, Li Lulu, Tian Xingbo, Chen Gongli
机构信息
Fetal medicine center, Women and Children's Hospital of Chongqing Medical University, Chongqing, 401147, China.
出版信息
BMC Pregnancy Childbirth. 2025 Mar 25;25(1):345. doi: 10.1186/s12884-025-07487-2.
OBJECTIVE
To present 2 cases of placental rupture at delivery after fetoscopic SOLOMON technique for twin-twin transfusion syndrome.
METHODS
2 cases diagnosed with TTTS in the second trimester. Fetoscopic SOLOMON procedure was performed successfully subsequently.
RESULTS
Placental rupture was confirmed by cesarean section in the third trimester. All fetuses were survived. No severe maternal complications but postpartum haemorrhage (PPH) was detected in one of the 2 cases.
CONCLUSION
The SOLOMON technique may further result in placental rupture which may lead to the risk of fetal demise and postpartum haemorrhage, should pay close attention.
目的
介绍2例采用胎儿镜下SOLOMON技术治疗双胎输血综合征后分娩时胎盘破裂的病例。
方法
2例在孕中期被诊断为双胎输血综合征。随后成功实施了胎儿镜下SOLOMON手术。
结果
孕晚期剖宫产证实胎盘破裂。所有胎儿均存活。未发现严重的母体并发症，但2例中的1例出现了产后出血（PPH）。
结论
SOLOMON技术可能进一步导致胎盘破裂，这可能会带来胎儿死亡和产后出血的风险，应予以密切关注。
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