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胎儿镜检查在产前诊断中的价值。

Value of fetoscopy in prenatal diagnosis.

作者信息

Rodeck C H

出版信息

J R Soc Med. 1980 Jan;73(1):29-33.

PMID:7230175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1440029/
Abstract

A technique of fetoscopy and fetoscopic blood sampling is described that makes maximum use of ultrasound scanning. A particle size analyser is also an integral part of the procedure. The results are based on 170 fetoscopies, 85 of which were performed for diagnostic reasons. The anterior placenta is rarely a cause of failure and in many instances makes fetal blood sampling easier. Pure fetal blood is obtainable from the umbilical cord insertion in 95% of cases sampled after 18 weeks' gestation. Fetal mortality may be as low as 3% and long-term adverse sequelae have not yet been discovered.

摘要

本文描述了一种充分利用超声扫描的胎儿镜检查和胎儿镜采血技术。粒度分析仪也是该操作不可或缺的一部分。结果基于170例胎儿镜检查,其中85例是出于诊断目的进行的。前置胎盘很少导致手术失败,在许多情况下反而使胎儿采血更容易。妊娠18周后采样的病例中,95%可从脐带插入处获取纯胎儿血。胎儿死亡率可能低至3%,尚未发现长期不良后遗症。

相似文献

1
Value of fetoscopy in prenatal diagnosis.胎儿镜检查在产前诊断中的价值。
J R Soc Med. 1980 Jan;73(1):29-33.
2
Fetoscopy guided by real-time ultrasound for pure fetal blood samples, fetal skin samples, and examination of the fetus in utero.实时超声引导下的胎儿镜检查用于获取纯胎儿血样、胎儿皮肤样本以及对宫内胎儿进行检查。
Br J Obstet Gynaecol. 1980 Jun;87(6):449-56. doi: 10.1111/j.1471-0528.1980.tb04577.x.
3
Sampling pure fetal blood by fetoscopy in second trimester of pregnancy.在妊娠中期通过胎儿镜采集纯净胎儿血液。
Br Med J. 1978 Sep 9;2(6139):728-30. doi: 10.1136/bmj.2.6139.728.
4
Fetoscopy--a new endoscopic approach.
Endoscopy. 1979 May;11(2):107-13. doi: 10.1055/s-0028-1098332.
5
Fetoscopy.胎儿镜检查
J Perinat Med. 1983;11(5):223-31. doi: 10.1515/jpme.1983.11.5.223.
6
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.
7
Evaluation of diagnostic fetoscopy.诊断性胎儿镜检查的评估
Clin Exp Obstet Gynecol. 1982;9(3):189-92.
8
[Results of fetoscopic examinations at our hospital].[我院胎儿镜检查结果]
Nihon Sanka Fujinka Gakkai Zasshi. 1987 May;39(5):759-64.
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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.
10
Fetoscopy. A new technique for antenatal intrauterine diagnosis.胎儿镜检查:一种产前宫内诊断的新技术。
Aust Fam Physician. 1980 Jan;9(1):11-5.

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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
In utero diagnosis of hemoglobinopathies. Technic for obtaining fetal blood.血红蛋白病的宫内诊断。获取胎儿血液的技术。
N Engl J Med. 1974 May 9;290(19):1065-7. doi: 10.1056/NEJM197405092901908.
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
Fetal blood-sampling in utero.宫内胎儿采血
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6
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
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7
Prenatal diagnosis by fetoscopy with subsequent normal delivery: report of a case.经胎儿镜产前诊断并随后正常分娩:病例报告
Am J Obstet Gynecol. 1976 Sep 15;126(2):287-8. doi: 10.1016/0002-9378(76)90294-5.
8
Fetoscopy and anterior placentas.胎儿镜检查与前置胎盘
N Engl J Med. 1977 Mar 10;296(10):573. doi: 10.1056/nejm197703102961017.
9
Prenatal diagnosis of a galactosaemia heterozygote by fetal blood enzyme assay.通过胎儿血液酶测定对半乳糖血症杂合子进行产前诊断。
Br Med J. 1979 Jan 6;1(6155):21-2. doi: 10.1136/bmj.1.6155.21-a.
10
[Fetoscopy (author's transl)].[胎儿镜检查(作者译)]
Z Geburtshilfe Perinatol. 1978 Aug;182(4):243-62.