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孕中期胎儿镜检查对整个胎儿进行可视化的局限性。

Limitations of visualization of the entire fetus by means of second-trimester fetoscopy.

作者信息

Wallenburg H C, Jahoda M G, Sachs E S, Niermeijer M F

出版信息

Arch Gynakol. 1977 Jan 27;222(1):1-4. doi: 10.1007/BF00670852.

DOI:10.1007/BF00670852
PMID:576383
Abstract

Fetoscopy with rigid fiber optics was performed under general anesthesia in 9 patients scheduled for therapeutic abortion by hysterotomy with a duration of pregnancy between 12 and 18 weeks. Visualization of fetus and placenta was found to be at random chance and incomplete, and could not be improved by internal or external manipulation. Skin biopsies were obtained in 5 cases. The cord could be recognized in all cases. It is concluded that the haphazard and incomplete visualization of the uterine contents at present precludes the application of second-trimester fetoscopy for early detection of visible congenital fetal abnormalities.

摘要

对9例计划通过剖腹取胎术进行治疗性流产、孕周在12至18周之间的患者，在全身麻醉下进行了硬性光纤胎儿镜检查。发现对胎儿和胎盘的观察是随机且不完整的，通过内部或外部操作也无法改善。5例患者进行了皮肤活检。所有病例中均可识别脐带。结论是，目前对子宫内容物的随机且不完整的观察妨碍了孕中期胎儿镜检查用于早期发现可见的先天性胎儿异常。

相似文献

1
Limitations of visualization of the entire fetus by means of second-trimester fetoscopy.孕中期胎儿镜检查对整个胎儿进行可视化的局限性。
Arch Gynakol. 1977 Jan 27;222(1):1-4. doi: 10.1007/BF00670852.
2
The "fetoscope"--a new clinical tool for prenatal genetic diagnosis.“胎儿镜”——一种用于产前基因诊断的新型临床工具。
Am J Obstet Gynecol. 1975 Feb 15;121(4):460-4. doi: 10.1016/0002-9378(75)90075-7.
3
Fetoscopy--a new endoscopic approach.
Endoscopy. 1979 May;11(2):107-13. doi: 10.1055/s-0028-1098332.
4
Intrapartum fetoscopy: technique and indications.产时胎儿镜检查：技术与适应证
Endoscopy. 1988 Jul;20(4):142-3. doi: 10.1055/s-2007-1018159.
5
Fetoscopy and fetal blood sampling: A percutaneous approach.胎儿镜检查与胎儿采血：一种经皮途径。
Am J Obstet Gynecol. 1974 Jun 15;119(4):539-42. doi: 10.1016/0002-9378(74)90216-6.
6
Fetoscopic visualization in second-trimester pregnancies.孕中期妊娠的胎儿镜检查可视化
Am J Obstet Gynecol. 1983 Jan 1;145(1):51-5. doi: 10.1016/0002-9378(83)90338-1.
7
[Fetoscopy under ultrasound control (author's transl)].
Dtsch Med Wochenschr. 1977 Sep 23;102(38):1341-4. doi: 10.1055/s-0028-1105504.
8
Evaluation of diagnostic fetoscopy.诊断性胎儿镜检查的评估
Clin Exp Obstet Gynecol. 1982;9(3):189-92.
9
First trimester prenatal diagnosis: embryoscopy and fetoscopy.
Semin Perinatol. 1999 Oct;23(5):424-33. doi: 10.1016/s0146-0005(99)80008-1.
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[Prenatal diagnosis of congenital anomalies--present status and future problems].[先天性异常的产前诊断——现状与未来问题]
Nihon Sanka Fujinka Gakkai Zasshi. 1988 Aug;40(8):1027-32.

本文引用的文献

1
New method of intrauterine evaluation by the combined use of fetoscopy and ultrasound.联合应用胎儿镜和超声进行宫内评估的新方法。
Am J Obstet Gynecol. 1974 Apr 15;118(8):1069-72. doi: 10.1016/0002-9378(74)90684-x.
2
Fetoscopy and fetal blood sampling: A percutaneous approach.胎儿镜检查与胎儿采血：一种经皮途径。
Am J Obstet Gynecol. 1974 Jun 15;119(4):539-42. doi: 10.1016/0002-9378(74)90216-6.
3
Endoamnioscopy and fetal biopsy: a new technique.羊膜内镜检查与胎儿活检：一项新技术。
Am J Obstet Gynecol. 1972 Oct 15;114(4):561-4. doi: 10.1016/0002-9378(72)90220-7.
4
Antenatal detection of hemoglobinopathies. A preliminary report.血红蛋白病的产前检测。初步报告。
Am J Obstet Gynecol. 1973 Mar 15;115(6):851-3. doi: 10.1016/0002-9378(73)90532-2.
5
Second-trimester fetoscopy and fetal blood sampling: current limitations and problems.孕中期胎儿镜检查与胎儿血液取样：当前的局限性与问题
Am J Obstet Gynecol. 1974 Dec 1;120(7):937-43. doi: 10.1016/0002-9378(74)90342-1.
6
Use of the laparoamnioscope for fetal observation and its effect on the human fetus.羊膜腔镜用于胎儿观察及其对人类胎儿的影响。
Am J Obstet Gynecol. 1974 Jul 15;119(6):844-8. doi: 10.1016/0002-9378(74)90099-4.
7
Alpha-fetoprotein in the antenatal diagnosis of anencephaly and spina bifida.甲胎蛋白在无脑儿和脊柱裂产前诊断中的应用
Lancet. 1972 Jul 29;2(7770):197-9. doi: 10.1016/s0140-6736(72)91634-0.
8
Hirschsprung's disease associated with congenital heart malformation, broad big toes, and ulnar polydactyly in sibs: a case for fetoscopy.先天性巨结肠症与先天性心脏畸形、宽大足趾及同胞手足尺侧多指畸形相关：胎儿镜检查病例报告
J Med Genet. 1975 Dec;12(4):334-8. doi: 10.1136/jmg.12.4.334.
9
[Significance of ultrasonic studies and fetoscopy for prenatal diagnosis of embryonic differentiation disorders].[超声检查和胎儿镜检查在胚胎分化障碍产前诊断中的意义]
Ned Tijdschr Geneeskd. 1975 Dec 27;119(52):2077-83.
10
The "fetoscope"--a new clinical tool for prenatal genetic diagnosis.“胎儿镜”——一种用于产前基因诊断的新型临床工具。
Am J Obstet Gynecol. 1975 Feb 15;121(4):460-4. doi: 10.1016/0002-9378(75)90075-7.