胎儿外科手术与产时外科手术的临床应用

摘要/Abstract

摘要：

越来越多的胎儿先天异常(出生缺陷)可以在出生前被发现及诊断，部分出生缺陷可在胎儿-新生儿期间通过胎儿外科手术或产时手术等方法得到及早矫正和治疗，明显改善出生缺陷儿的预后，提高出生缺陷儿的生命质量。目前临床上较为成熟的、能有效改善患儿预后的胎儿外科先进技术包括产时胎儿手术、胎儿介入治疗、胎儿镜及开放式胎儿宫内手术等。但是由于地域文化、经济水平、技术难度的区别和限制，部分胎儿外科先进技术仍不能普及推广。该文就这几种胎儿外科治疗先进技术的临床应用予以阐述。

关键词: 胎儿外科手术, 产时胎儿手术, 胎儿宫内手术：胎儿镜手术

Abstract:

Abstract:More and more fetal congenital anomalies (birth defects) can be found and diagnosed before birth, some birth defects can be corrected and treated earlier in the fetus - neonatal period by fetal surgery or intrapartum surgery to improve the prognosis and the quality of the lives of children. Currently, the advanced fetal surgery technology which clinically more mature and effectively improve the prognosis of children including fetal EXIT procedure ,fetal intervention therapy, fetoscopic surgery, open fetal surgery and so on. However, due to the differences and limitations of the local culture, economic level and the technical difficulty, some advanced fetal surgery technologies are can not be popularized. In this paper, the clinical applications of these types of advanced fetal surgery technology are summarized as follows.

Key words: fetal surgery, fetal EXIT procedure, intrauterine fetal surgery, fetoscopic surgery

中图分类号:

R714

李欢，刘彩霞. 胎儿外科手术与产时外科手术的临床应用[J]. 中国实用妇科与产科杂志.

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