Donner C, Noel J C, Rypens F, van Kerkem J, Avni F, Rodesch F
Department of Obstetrics and Gynecology, Free University of Brussels, Belgium.
Prenat Diagn. 1995 Jan;15(1):60-3. doi: 10.1002/pd.1970150112.
A 29-year-old woman was referred for suspicion of twin-twin transfusion syndrome (TTTS). Several ultrasonographic and neonatal criteria of TTTS were encountered in this twin pregnancy. The peculiar observations in this case were, firstly, the demonstration of superficial anastomosis by Doppler ultrasound and, secondly, that one single therapeutic amniocentesis could have been sufficient to partially correct the progression of the syndrome, as after amniocentesis it was no longer possible to demonstrate the vascular communication. This observation suggests that superficial anastomoses could also have a role in the genesis of TTTS. Their effect could be monitored by Doppler ultrasound and could be more easily corrected by therapeutic amniocentesis.
一名29岁女性因疑似双胎输血综合征（TTTS）前来就诊。此次双胎妊娠出现了TTTS的多项超声和新生儿标准。该病例的特殊发现，其一，通过多普勒超声显示了浅表吻合；其二，单次治疗性羊膜腔穿刺术可能足以部分纠正综合征的进展，因为羊膜腔穿刺术后已无法显示血管交通。这一发现表明浅表吻合在TTTS的发生中可能也起作用。其作用可通过多普勒超声监测，且通过治疗性羊膜腔穿刺术更容易纠正。
