早产儿巨大骶尾部畸胎瘤的去血管化及分期切除术

Devascularization and staged resection of giant sacrococcygeal teratoma in the premature infant.

作者信息

Robertson F M, Crombleholme T M, Frantz I D, Shephard B A, Bianchi D W, D'Alton M E

机构信息

Division of Pediatric Surgery, Tufts University School of Medicine, Boston, MA, USA.

出版信息

J Pediatr Surg. 1995 Feb;30(2):309-11. doi: 10.1016/0022-3468(95)90579-0.

DOI:10.1016/0022-3468(95)90579-0

PMID:7738756

Abstract

Sacrococcygeal teratoma identified in utero is associated with 50% fetal demise, which is caused by hyperdynamic cardiac failure, hemorrhage, and polyhydramnios-induced preterm labor. A premature infant (26 weeks' gestation) with prenatally diagnosed sacrococcygeal teratoma was managed successfully with initial devascularization to control the hyperdynamic state, followed by staged resection.

摘要

产前诊断出的骶尾部畸胎瘤与50%的胎儿死亡相关，其原因是高动力性心力衰竭、出血和羊水过多引起的早产。一名产前诊断为骶尾部畸胎瘤的早产儿（孕26周），最初通过血管离断术控制高动力状态，随后分期切除，成功得到治疗。