Shen Chun,Zheng Shan.Understandings of medical interventions for fetal malformations[J].Journal of Clinical Pediatric Surgery,2022,21(09):811-814.[doi:10.3760/cma.j.cn101785-202205017-003]
结构畸形胎儿的医学干预与思考
- Title:
- Understandings of medical interventions for fetal malformations
- 关键词:
- 畸形; 严重畸胎样/外科学; 产前诊断/仪器和设备; 胎儿期疗法
- 摘要:
- 胎儿外科是一门新兴学科。正确诊断胎儿期结构畸形，客观评估疾病严重程度、预后及转归，提供科学、合理的产前咨询，有助于孕妇及家庭做出相对合理的决定，也是胎儿期外科干预的重要环节。目前国内不同医疗机构对结构畸形胎儿的产前咨询和相关治疗存在认识上的差异，胎儿期干预的指针与实施尚不规范，由此引发一些争议与思考。本文就国内胎儿期干预相关内容，如胎儿期干预母体风险与胎儿收益之间的利弊评估、子宫外产时处理的主要适应证、胎儿期外科干预医师的资质、操作安全性及重要性等进行阐述。
- Abstract:
- As an newly emerging field, fetal surgery includes correctly diagnosing the structural malformations; objectively evaluating the severity and prognosis of disease and providing scientific and reasonable prenatal counseling and assisting pregnant women and their families in make rational decisions.In different regions in China, the understandings of prenatal management of fetuses with structural malformations show great differences.And there are also a lack of guidelines and heated debates for fetal therapies.This review focused upon striking a balance of maternal risks and fetal benefits, major indications for ex utero intrapartum treatment, practicing qualification of fetal surgeons and operative safety and importance.
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备注/Memo
收稿日期:2022-05-08。
基金项目:出生缺陷临床中心（EK2022ZX03）
通讯作者:沈淳,E-mail:chshen0521@126.com