Zhao Hangyan,Zhu Jihua,Wang Jinhu,et al.A case report of fetal giant sacrococcygeal teratoma during exutero intrapartum treatment[J].Journal of Clinical Pediatric Surgery,2022,21(11):1098-1100.[doi:10.3760/cma.j.cn101785-202201032-019]
胎儿巨大骶尾部畸胎瘤宫外产时处理1例
- Title:
- A case report of fetal giant sacrococcygeal teratoma during exutero intrapartum treatment
- 摘要:
- 骶尾部畸胎瘤是胎儿期常见肿瘤之一,巨大畸胎瘤可能增加胎儿心脏负荷,导致胎儿水肿、心功能衰竭等严重问题。宫外产时处理最初应用于胎儿严重膈疝(fetoscopic endoluminal tracheal occlusion,FETO)手术后气管内堵塞物的取出,之后应用范围逐步扩大,对胎儿气道梗阻或心肺功能不全发挥了重要作用。本文报告1例应用宫外产时处理技术治疗的胎儿巨大骶尾部畸胎瘤合并心功能衰竭,探讨骶尾部畸胎瘤宫外产时处理的应用指征,总结宫外产时处理的围术期管理要点。
参考文献/References:
[1] 张金哲.张金哲小儿外科学[M].北京:人民卫生出版社, 2013:1126-1133. Zhang JZ.Zhang jinzhe pediatric surgery[M].Beijing:People’s Medical Publishing House, 2013:1126-1133.
[2] 郑珊.实用新生儿外科学[M].北京:人民卫生出版社, 2013:232. Zheng S.Practical neonatal surgery[M].Beijing:People’s Medical Publishing House, 2013:232.
[3] 王展, 唐达星.胎儿骶尾部畸胎瘤的预后评估研究进展[J].中华小儿外科杂志, 2016, 37(9):706-710.DOI:10.3760/cma.j.issn.0253-3006.2016.09.016. Wang Z, Tang DX.Advances in prognostic assessments of fetal sacrococcygeal teratoma[J].Chin J Pediatr Surg, 2016, 37(9):706-710.DOI:10.3760/cma.j.issn.0253-3006.2016.09.016.
[4] Finamore PS, Kontopoulos E, Price M, et al.Mirror syndrome associated with sacrococcygeal teratoma:a case report[J].J Reprod Med, 2007, 52(3):225-227.
[5] 李欢, 刘彩霞.产时胎儿手术的最新进展[J].实用妇产科杂志, 2016, 32(6):401-404. Li H, Liu CX.Recent advances in prenatal fetal surgery[J].J Prac Obste Gynecol, 2016, 32(6):401-404.
[6] 余东海, 冯杰雄.产时手术治疗先天性畸形的现状与展望[J].临床外科杂志, 2015, 23(11):805-808.DOI:10.3969/j.issn.1005-6483.2015.11.001. Yu DH, Feng JX.Present status and future prospects of surgery for congenital malformations during labor[J].J Clin Surg, 2015, 23(11):805-808.DOI:10.3969/j.issn.1005-6483.2015.11.001.
[7] Flake AW, Harrison MR, Adzick NS, et al.Fetal sacrococcygeal teratoma[J].J Pediatr Surg, 1986, 21(7):563-566.DOI:10.1016/S0022-3468(86)80404-3.
[8] 中华医学会小儿外科学分会新生儿外科学组.常见胎儿结构畸形产前咨询儿外科专家共识[J].中华小儿外科杂志, 2020, 41(12):1057-1068.DOI:10.3760/cma.j.cn421158-20200228-00126. Group of Neonatal Surgery, Branch of Pediatric Surgery, Chinese Medical Association.Pediatric Surgical Expert Consensus on Prenatal Consultations for Common Fetal Structural Abnormalities[J].Chin J Pediatr Surg, 2020, 41(12):1057-1068.DOI:10.3760/cma.j.cn421158-20200228-00126.
[9] 李欢, 孙颖, 李秋玲, 等.行产时手术的出生缺陷儿的预后随访分析[J].中国医科大学学报, 2011, 40(4):327-330.DOI:CNKI:21-1227/R.20110426.1528.004. Li H, Sun Y, Li QL, et al.Follow-up analysis of outcomes of infants undergoing intrapartum surgery for birth defects[J].J China Med Univ, 2011, 40(4):327-330.DOI:CNKI:21-1227/R.20110426.1528.004.
[10] Fetal Diagnosis and Treatment Committee of the American Pediatric Surgical Association.Fetal diagnosis and therapy:a reference handbook for pediatric surgeons[M].2nd Ed.New York:American Pediatric Surgical Association, 2019:27-30.
[11] 赵体玉, 郭月, 李乔.质量先期策划与控制计划在产时宫外处理中的应用[J].中华护理杂志, 2015, 50(10):1212-1216.DOI:10.3761/j.issn.0254-1769.2015.10.012. Zhao TY, Guo Y, Li Q.Application of advanced product quality and control planning for ex utero intrapartum treatment[J].Chin J Nurs, 2015, 50(10):1212-1216.DOI:10.3761/j.issn.0254-1769.2015.10.012.
[12] 张志涛, 刘彩霞, 周阳子, 等.产时手术在治疗出生缺陷儿及改善其预后中的价值[J].中华妇产科杂志, 2010, 45(9):652-657.DOI:10.3760/cma.j.issn.0529-567x.2010.09.004. Zhang ZT, Liu CX, Zhou YZ, et al.Intrapartum operations for fetuses with birth defects and its outcomes[J].Chin J Obstet Gynecol, 2010, 45(9):652-657.DOI:10.3760/cma.j.issn.0529-567x.2010.09.004.
[13] 郑里乐, 许慧萍, 彭牡丹.产时子宫外胎儿手术的护理配合[J].临床小儿外科杂志, 2011, 10(2):157-158.DOI:10.3969/j.issn.1671-6353.2011.02.034. Zheng LL, Xu HP, Peng MD.Nursing cooperations in extrauterine fetal surgery during labor[J].J Clin Ped Sur, 2011, 10(2):157-158.DOI:10.3969/j.issn.1671-6353.2011.02.034.
[14] 李欢, 王大佳, 刘彩霞, 等.子宫外产时处理技术规范(2021年更新版)[J].中国实用妇科与产科杂志, 2021, 37(4):449-452.DOI:10.19538/j.fk2021040111. Li H, Wang DJ, Liu CX, et al.Technical Specifications for ex utero intrapartum treatment (updated edition 2021)[J].Chin J Pract Gynecol Obstet, 2021, 37(4):449-452.DOI:10.19538/j.fk2021040111.
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备注/Memo
收稿日期:2020-01-14。
基金项目:浙江省教育厅科研项目(Y202250090);浙江省基础公益研究计划项目(GF22F039295)
通讯作者:徐红艳,Email:xuhongy@zju.edu.cn