分类号：R714.23
出版年·卷·期（页码）：2019·11·第3期（28-31）
DOI:
10.13470/j.cnki.cjpd.2019.03.007
-----摘要：-------------------------------------------------------------------------------------------
目的 探究双胎输血综合征Ⅳ期患者行射频消融减胎术的治疗效果?方法 回顾性分析2015年10月1日至2018年12月31日在广东省妇幼保健院诊断为双胎输血综合征Ⅳ期并行射频消融减胎术患者的临床资料?描述患者基本情况及术后胎儿结局情况?结果 共纳入9例行射频消融减胎术的双胎输血综合征Ⅳ期患者?保留胎儿有2例足月分娩，4例早产分娩，1例术后3天胎膜早破流产，1例术后因侧脑室扩张于术后3周引产，1例孕32周先兆早产因就诊不及时死产?结论 双胎输血综合征Ⅳ期患者面临风险较大，射频消融减胎术对于挽救至少一个胎儿生命具有一定的价值，特别在尚未开展胎儿镜治疗的地区?
-----英文摘要：---------------------------------------------------------------------------------------
Objective To investigate the application of elective reduction by radiofrequency ablation on Quintero Ⅳ twin-to-twin transfusion syndrome patient. Methods A retrospective analysis of 9 Quintero Ⅳ twin-to-twin transfusion syndrome patients treated with elective reduction by radiofrequency ablation in Guangdong Women and children Hospital. Results 9 Quintero Ⅳ twin-to-twin transfusion syndrome patients were treated with elective reduction by radiofrequency ablation. Two were term birth, four were pre-term birth, one was premature rupture of membrane 3 days after the operation, and one was stillbirths at 32 weeks. Conclusions Elective reduction by radiofrequency ablation has a certain value for Quintero Ⅳ twin-to-twin transfusion syndrome patients, especially for the regions where did not carried out selective laser coagulation of placental vessels.
-----参考文献：---------------------------------------------------------------------------------------
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饶腾子,魏然,刘倩,石晓梅,方利元,吴菁.射频消融减胎术在双胎输血综合征Ⅳ期患者中的应用.中国产前诊断杂志,2019,11(3):28-31.
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