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本文引用的文献

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A case of dichorionic twin reversed arterial perfusion sequence with prenatal diagnosis of vascular anastomosis in the first trimester.一例双绒毛膜双胎反向动脉灌注序列征，孕早期产前诊断血管吻合情况。
Am J Obstet Gynecol. 2024 Apr;230(4):462-464.e2. doi: 10.1016/j.ajog.2023.11.1231. Epub 2023 Nov 18.
2
Perinatal outcome of monochorionic triamniotic triplet pregnancy: multicenter cohort study.单绒毛膜三羊膜囊三胎妊娠的围产期结局：多中心队列研究
Ultrasound Obstet Gynecol. 2023 Oct;62(4):540-551. doi: 10.1002/uog.26256.
3
Twin Reversed Arterial Perfusion.双胎反向动脉灌注序列征
Cureus. 2022 Nov 5;14(11):e31116. doi: 10.7759/cureus.31116. eCollection 2022 Nov.
4
Gestational age at birth and outcome in monochorionic twins with different types of selective fetal growth restriction: A systematic literature review.出生时的孕龄和不同类型选择性胎儿生长受限的单绒毛膜双胎的结局：系统文献回顾。
Prenat Diagn. 2022 Aug;42(9):1094-1110. doi: 10.1002/pd.6206. Epub 2022 Jul 17.
5
Twin reversed arterial perfusion (TRAP) sequence: A case report and a brief literature review.双胎反向动脉灌注序列征：一例病例报告及文献综述
Radiol Case Rep. 2022 Mar 21;17(5):1682-1691. doi: 10.1016/j.radcr.2022.02.057. eCollection 2022 May.
6
Twin reversed arterial perfusion sequence managed by bipolar cord coagulation and amniopatch: Case report.经双极脐带凝固和羊膜补片处理的双胎反向动脉灌注序列征：病例报告
Int J Surg Case Rep. 2022 Apr;93:106893. doi: 10.1016/j.ijscr.2022.106893. Epub 2022 Mar 1.
7
Selective termination of the fetus in multiple pregnancies using ultrasound-guided radiofrequency ablation.超声引导下射频消融选择性终止多胎妊娠。
BMC Pregnancy Childbirth. 2021 Dec 10;21(1):821. doi: 10.1186/s12884-021-04285-4.
8
Fetoscopy-guided bipolar cord coagulation in selective fetal reduction with complicated monochorionic diamniotic twins: a prospective cohort study.超声引导下选择性胎儿减胎术治疗复杂性单绒毛膜双羊膜囊双胎的前瞻性队列研究。
J Matern Fetal Neonatal Med. 2022 Dec;35(25):7744-7747. doi: 10.1080/14767058.2021.1961725. Epub 2021 Sep 1.
9
Prevalence of abnormal umbilical arterial flow on Doppler ultrasound in low-risk and unselected pregnant women: a systematic review.低危且未经选择的孕妇群体中，多普勒超声检查的脐动脉血流异常的流行率：一项系统综述。
Reprod Health. 2021 Feb 12;18(1):38. doi: 10.1186/s12978-021-01088-w.
10
Perinatal outcomes of iatrogenic chorioamniotic separation following fetoscopic surgery: systematic review and meta-analysis.羊膜腔镜手术后医源性羊膜绒毛膜分离的围产儿结局：系统评价和荟萃分析。
Ultrasound Obstet Gynecol. 2021 Sep;58(3):347-353. doi: 10.1002/uog.23588.

双胎反向动脉灌注序列征合并妊娠的胎儿干预单中心经验：病例报告

Single-Center Experiences for Fetal Intervention in Pregnancy Complicated by Twin Reversed Arterial Perfusion Sequence: Case Reports.

作者信息

Aldiansyah Dudy, Halim Binarwan, Lumbanraja Sarma Nursani, Asroel Edwin Martin, Fahdy M, Hartono Hanudse, Thomson Thomson

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155 Indonesia.

Fetal Diagnosis and Therapy Unit, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Haji Adam Malik General Hospital, Medan, 20136 North Sumatera Indonesia.

出版信息

J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):623-626. doi: 10.1007/s13224-024-02063-8. Epub 2024 Nov 22.

DOI:10.1007/s13224-024-02063-8
PMID:40390935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12085546/
Abstract

OBJECTIVE

We present three cases of fetal intervention in twin reversed arterial perfusion (TRAP) sequence.

CASE REPORTS

Case 1. A 22-year-old pregnant woman, 23-week gestational age (WGA), with TRAP sequence. The patient underwent interstitial laser coagulation, in which we successfully coagulated one vessel with direct flow to the acardiac twin's heart but failed to coagulate the vessels to the acardiac twin's pelvis. After the procedure, the patient developed preterm premature rupture of membrane (PPROM) and delivery ensues. The pump twin's weight was 458 g and passed away after two hours.Case 2. A 18-year-old pregnant woman, 25 WGA, with TRAP sequence. This patient underwent bipolar cord coagulation, and we successfully coagulated 3 segments of the cord and finished with amniopatch. Three weeks later, the patient developed preterm premature rupture of membrane and delivery ensues. The pump twin's weight was 1300 g, and she survived after admission in the neonatal intensive care unit (NICU) for 3 months.Case 3. A 23-year-old pregnant woman, 24 WGA, with TRAP sequences. This patient underwent bipolar cord coagulation, and we successfully coagulated 5 segments of the cord. After the pregnancy reaches 37 weeks, we perform an elective cesarean section to deliver the surviving male pump twin baby, who weighs 3100 g.

CONCLUSION

We reported three cases of TRAP sequences with different treatments and outcomes.

摘要

目的

我们介绍三例双胎反向动脉灌注序列（TRAP）的胎儿干预病例。

病例报告

病例1。一名22岁孕妇，孕23周，患有TRAP序列。患者接受了间质激光凝固术，我们成功凝固了一根直接流向无心双胎心脏的血管，但未能凝固流向无心双胎骨盆的血管。术后，患者发生胎膜早破（PPROM）并随后分娩。泵血双胎体重458克，两小时后死亡。

病例2。一名18岁孕妇，孕25周，患有TRAP序列。该患者接受了双极脐带凝固术，我们成功凝固了脐带的3段，并进行了羊膜贴片修补。三周后，患者发生胎膜早破并随后分娩。泵血双胎体重1300克，在新生儿重症监护病房（NICU）住院3个月后存活。

病例3。一名23岁孕妇，孕24周，患有TRAP序列。该患者接受了双极脐带凝固术，我们成功凝固了脐带的5段。妊娠37周后，我们进行择期剖宫产，分娩出存活的男性泵血双胎婴儿，体重3100克。

结论

我们报告了三例采用不同治疗方法及不同结局的TRAP序列病例。