先天性结构畸形产前产后一体化诊断与治疗模式

Integrated prenatal and postnatal managements of congenital structural malformations

先天性结构畸形是影响人群健康水平和人口素质的公共卫生与社会问题,随着产前诊断水平的提高,大部分胎儿结构畸形可以在妊娠期被发现。早期识别、动态随访评估、适时干预和手术治疗,以及近远期随访,是有效管理先天性结构畸形患儿的重要举措。多学科协作的产前产后一体化诊疗模式,对于很多先天性结构畸形的防治优势明显,已成为当前主要的诊疗模式,国内外不同学科和专业均提出了先天性结构畸形的一体化诊疗经验。本文针对我国先天性结构畸形的产前产后一体化诊断与治疗实施现状、存在问题以及发展趋势进行总结和评述。

Congenital structural malformations have become serious public health and social problems.With continuous improvements of prenatal diagnosis,most fetal structural malformations may be detected during pregnancy.Early identification,timely surgical interventions and dynamic follow-up evaluations are important for an effective management of fetal structural malformations.Multidisciplinary collaborations,whole-chain services and integrated perinatal models have become a major trend.Different disciplines and specialties at home and abroad have proposed specific approaches.This review summarized current status,existing challenges and future trends of integrated perinatal managements of congenital structural malformations in China.