SUCCESSFUL OUTCOME AFTER ND-YAG LASER SEPARATION OF CHORIOANGIOPAGUS-TWINS UNDER SONOENDOSCOPIC CONTROL

被引：57

作者：

VILLE, Y ^{[1
]}

HECHER, K ^{[1
]}

OGG, D ^{[1
]}

WARREN, R ^{[1
]}

NICOLAIDES, K ^{[1
]}

机构：

[1] UNIV LONDON KINGS COLL HOSP,HARRIS BIRTHRIGHT RES CTR FETAL MED,SCH MED & DENT,DENMARK HILL,LONDON SE5 8RX,ENGLAND

来源：

ULTRASOUND IN OBSTETRICS & GYNECOLOGY | 1992年 / 2卷 / 06期

关键词：

ND-YAG LASER; CHORIOANGIOPAGUS TWINS; TWIN TWIN TRANSFUSION SYNDROME; HYDROPS-FETALIS;

D O I：

10.1046/j.1469-0705.1992.02060429.x

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

Endoscopic laser coagulation of the chorioangiopagus was successfully performed at 25 weeks' gestation in a pregnancy presenting with acute polyhydramnios due to twin transfusion syndrome. Under local anesthesia, a rigid fetoscope housed in a 2.7 mm diameter cannula was introduced transabdominally into the amniotic cavity and the communicating vessels were coagulated by Nd: YAG laser through a fiber that was passed down the side-arm of the cannula. There was rapid normalization of urine output in both fetuses and resolution of the oligo- and polyhydramnios in the donor and recipient twins, respectively. Furthermore, there was normalization in both fetal circulations, as assessed by Doppler velocimetry, and there was gradual resolution of the hydrops in the recipient. Two healthy babies were born 9 weeks after the procedure.

引用

页码：429 / 431

页数：3