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产时宫外治疗的手术方法及并发症 被引量：1

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摘要 产时宫外治疗（ex-utero intrapartum treatment,EXIT）是一种新型的产科手术方式,最初被应用于保证因严重先天性膈疝阻塞气道的胎儿在剖宫产术中的安全.EXIT的基本原理是维持母胎循环（维持子宫胎盘灌注）直到胎儿气道稳定或相关胎儿手术结束[1],是一个需要高度协调、技术精湛、经验丰富的多学科团队合作的高级别手术[2].
作者 李奎 杨慧霞
机构地区 北京大学第一医院妇产科
出处 《中华围产医学杂志》 CAS CSCD 2015年第8期602-605,共4页 Chinese Journal of Perinatal Medicine
关键词 手术方法 治疗 宫外 产时 并发症 胎儿手术 剖宫产术中 先天性膈疝
分类号 R719 [医药卫生—妇产科学]
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参考文献26

  • 1Taghavi K, Beasley S. The ex utero intrapartum treatment (EXIT) procedure: application of a new therapeutic paradigm[J]. J Paediatr Child Health, 2013, 49(9):E420-427.
  • 2Laje P, Johnson MP, Howell LJ, et al. Ex utero intrapartum treatment in the management of giant cervical teratomas[J]. J Pediatr Surg, 2012, 47(6): 1208-1216.
  • 3Olutoye OO, Olutoye OA. EXIT procedure for fetal neck masses[J]. Curr Opin Pediatr, 2012, 24(3):386-393.
  • 4Schoenfeld A, Edelstein T, Joel-Cohen SJ. Prenatal ultrasonic diagnosis of fetal teratoma of the neck[J]. Br J Radiol, 1978, 51 (609):742-744.
  • 5Holinger LD, Birnholz JC, Bruce DR, et al. Management of an infant with prenatal ultrasound diagnosis of upper airway obstruction[J]. Int J Pediatr Otorhinolaryngol, 1985, 10(3):263- 270.
  • 6Kelly MF, Berenholz L, Rizzo KA, et al. Approach for oxygenation of the newborn with airway obstruction due to a cervical mass[J]. Ann Otol Rhinol Laryngol, 1990, 99(3 Pt 1): 179-182.
  • 7Levine AB, Alvarez M, Wedgwood J, et al. Contemporary management of a potentially lethal fetal anomaly: a successful perinatal approach to epignathus[J]. Obstet Gynecol, 1990, 76 (5 Pt 2): 962-966.
  • 8Harrison MR, Adzick NS, Flake AW, et al. Correction of congenital diaphragmatic hernia in utero VIII: response of the hypoplastic lung to tracheal occlusion[J]. J Pediatr Surg, 1996, 31(10):1339-1348.
  • 9Moldenhauer JS. Ex utero intrapartum therapy[J]. Semin Pediatr Surg, 2013, 22(1):44-49.
  • 10Sviggum HP, Kodali BS. Maternal anesthesia for fetal surgery[J]. Clin Perinatol, 2013, 40(3):413-427.

同被引文献31

  • 1黄林环.先天性膈疝的产时宫外治疗三例病例分析及文献综述[c].第四届围产医学新进展高峰论坛,2012:142.
  • 2Taghavi K, Beasley S. The ex utero intrapartum treatment (EXIT) procedure: application of a new therapeutic paradigm[J]. J Paediatr Child Health, 2013, 49(9):E420-427.
  • 3Laje P, Johnson MP, Howell LJ, et al. Ex utero intrapartum treatment in the management of giant cervical teratomas[J]. J Pediatr Surg, 2012, 47(6):1208-1216.
  • 4Olutoye OO, Olutoye OA. EXIT procedure for fetal neck masses[J]. Curr Opin Pediatr, 2012, 24(4):386-393.
  • 5Moldenhauer JS. Ex utero intrapartum therapy[J]. Semin Pediatr Surg, 2013, 22(1):44-49.
  • 6Cass DL, Olutoye OO, Cassady CI, et al. EXIT-to-resection for fetuses with large lung masses and persistent mediastinal compression near birth[J]. J Pediatr Surg, 2013, 48:138-144.
  • 7Ben-lshay O, Nicksa GA, Wilson JM, et al. Management of giant congenital pulmonary airway malformations requiring pneumonectomy[J]. Ann Thorac Surg, 2012, 94(4): 1073-1078.
  • 8Nuchtern JG, Harberg FJ. Congenital lung cysts[J]. Semin Pediatr Surg, 1994, 3(4):233-243.
  • 9Schwartz MZ, Ramachandran P. Congenital malformations of the lung and mediastinum--a quarter century of experience from a single institution[J]. J Pediatr Surg, 1997, 32(1):44-47.
  • 10AI-Bassam A, AI-Rabeeah A, A1-Nassar S, et al. Congenital cystic disease of the lung in infants and children (experience with 57 cases) [J]. Eur J Pediatr Surg, 1999, 9(6):364-368.

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中华围产医学杂志
2015年 第8期

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