双胎输血综合征的治疗进展与妊娠结局

Advances in the treatment of twin-twin transfusion syndrome and its pregnancy outcomes

双胎输血综合征(TTTS)是单绒毛膜双胎特有的严重并发症。相比于羊水减量术,胎儿镜激光电凝术(FLP)治疗TTTS可明显改善围产儿结局,已被公认为治疗双胎输血综合征的首选方法。文章主要对FLP的不同术式进行评价,并对接受FLP的TTTS患者的妊娠结局做一综述。

Twin-twin transfusion syndrome （TITS） is a severe complication occurring in 10% - 15% of monochorionic twins. Fetoscopic laser photocoagulation （FLP） of anastomoses is first-line treatment for severe twin-twin transfusion syndrome and can significantly improve perinatal outcome. The purpose of this paper is to evaluate the efficacy of different FLP techniques and introduce the pregnancy outcome of TTTS patients who have accepted FLP treatment.