Twin-Twin Transfusion Syndrome: Where do we go from here?

被引:82
|
作者
Harkness, UF [1 ]
Crombleholme, TM [1 ]
机构
[1] Univ Cincinnati, Coll Med, Cincinnati, OH 45229 USA
关键词
Twin-Twin Transfusion Syndrome; laser photocoagulation; amnioreduction;
D O I
10.1053/j.semperi.2005.10.001
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Management of Twin-Twin Transfusion Syndrome (TTTS) is one of the most challenging clinical problems concerning multiple gestations. The pathophysiology of TTTS and Quintero staging system are described. The importance of fetal echocardiograms in assessing prognosis and response to therapy is highlighted. Treatment modalities, particularly amnioreduction, microseptostomy, and fetoscopic laser photocoagulation, are discussed. Questions still remain as to how various treatment options affect short- and long-term cardiac and neurodevelopmental outcomes and which patients will benefit most from selective laser photocoagulation therapy. © 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:296 / 304
页数:9
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