宫内治疗性引流的临床探讨

目的 探讨宫内治疗双胎儿输血综合征(TTTS)和胸腔积液、尿潴留的可行性及其临床效果.方法 在B超引导下,对2例TTTSI期患者行系列羊水减量,对2例原发胎儿胸水、1例尿潴留行穿刺引流.结果 宫内治疗可延长孕周2～9周,7例新生儿娩出后均无窒息.结论 宫内治疗具有可行性和降低婴儿死亡率的临床效果.

The intra-uterine therapy for twin-to-twin auto-transfusion syndrome and fetus with pleural effusion and urine retention

Objective To explore the feasibility and the clinical effectiveness of intrauterine therapy for twin auto-transfusion syndrome. Methods With B ultranonography the serial aminoreduction for stage I twin-to-twin transfusion syndrome and pleurocentesis for primary fetal pleural effusion were performed. Results Intrauterine therapy increased gestation age for 2 to 9 weeks,and none had developed asphyxia in 7 neonatals. Conclusions The intrauterine therapy is feasible in decreasing the perinatal mortality of twin auto-transfusion syndrome and fetus with pleural effusion and urine retention.