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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 461 - 467 (7page)
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초록· 키워드
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ObjectiveTo evaluate the initial maternal and perinatal outcomes of fetoscopic laser photocoagulation for the treatment oftwin-to-twin transfusion syndrome (TTTS) in a referral center in Brazil. MethodsThis prospective observational study analyzed 24 fetoscopic laser photocoagulation procedures at 18.26 weeks ofgestation. TTTS severity was determined using the Quintero classification. Blood vessels that crossed the interamnioticmembrane were nonselectively photocoagulated. The χ2 test and Mann-Whitney U test were used for the statisticalanalysis. ResultsThe mean (±standard deviation) age of pregnant women, gestational age at surgery, surgical time, gestational age atbirth, and newborn weight were 32.2±4.1 years, 20.7±2.9 weeks, 51.8±16.7 minutes, 30.5±4.1 weeks, and 1,531.0±773.1g, respectively. Using the Quintero classification, there was a higher percentage of cases in stage III (54.2%), followedby stages IV (20.8%), II (16.7%), and I (8.3%). Ten (41.7%) donor fetuses died and 14 (58.3%) donor fetuses surviveduntil the end of gestation. Placental insertion location (anterior vs. posterior) did not affect the incidence of iatrogenicseptostomy, surface bleeding, and premature rupture of membranes until the end of gestation. The death rate ofdonor and recipient fetuses before 24th gestational week increased with severity of TTTS. ConclusionThe maternal and perinatal outcomes resulting from the implementation of a new minimally invasive surgicaltechnique are in line with those obtained in major centers worldwide, considering the learning curves andinfrastructures.
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참고문헌 (19)
참고문헌 신청
Lewi L / 2013 / The vascular anastomoses in monochorionic twin pregnancies and their clinical consequences / Am J Obstet Gynecol 208:19~30
Lewi L / 2008 / The outcome of monochorionic diamniotic twin gestations in the era of invasive fetal therapy: a prospective cohort study / Am J Obstet Gynecol 199:514
Saade GR / 1998 / Amniotic septostomy for the treatment of twin oligohydramnios-polyhydramnios sequence / Fetal Diagn Ther 13:86~93
de Villiers SF / 2012 / Arterio-arterial vascular anastomoses in monochorionic placentas with and without twintwin transfusion syndrome / Placenta 33:652~654
Lewi L / 2008 / Clinical outcome and placental characteristics of monochorionic diamniotic twin pairs with earlyand late-onset discordant growth / Am J Obstet Gynecol 199:511
Lewi L / 2008 / The outcome of monochorionic diamniotic twin gestations in the era of invasive fetal therapy: a prospective cohort study / Am J Obstet Gynecol 199:514
Saade GR / 1998 / Amniotic septostomy for the treatment of twin oligohydramnios-polyhydramnios sequence / Fetal Diagn Ther 13:86~93
de Villiers SF / 2012 / Arterio-arterial vascular anastomoses in monochorionic placentas with and without twintwin transfusion syndrome / Placenta 33:652~654
Lewi L / 2008 / Clinical outcome and placental characteristics of monochorionic diamniotic twin pairs with earlyand late-onset discordant growth / Am J Obstet Gynecol 199:511
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