双胎输血综合征诊断和治疗进展.docVIP

　 双胎输血综合征诊断和治疗进展 ====================================================================== 【摘要】 双胎输血综合征是发生于单绒毛膜双胎的一种少见严重并发症,围产儿死亡率高,其发病机制与胎盘血管吻合有关,早期预测主要靠超声检查,产前诊断主要靠超声检查和产后胎盘病理检查,目前应用较多的治疗方法是羊水减量法和胎儿镜下选择性凝固吻合血管法,后者的存活率及并发症均优于前者,有较好的发展前景。 【关键词】 双胎输血综合征;病因;诊断标准;治疗;预后 　　【Abstract】 Twintwin transfusion syndrome is a rare serious complication of single chorionic twin.As a syndrome with high perinatal mortality,its pathogenesis maybe related to placental vascular anastomosis.Its early prediction mainly depends on ultrasonography,and prenatal diagnosis on ultrasound examination and postnatal placen