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上海率先规范使用射频消融技术减胎--亲稳舆论引导监测室
2012-10-11
中新网上海10月11日电(记者陈静)怀上单卵双胞胎的张女士却被查出一个胎儿无脑。这在以往,她将面临痛苦选择:都要,还是都不要。上海妇产科专家借鉴国外成熟案例,率先为其进行射频消融术减胎治疗,张女士最终产下一个健康的宝宝。
Beijing on October 11, Shanghai(Reporter reiter)Pregnant with identical twins but ms. Zhang was found a fetus no brain.This in the past,She will face painful choice:will,Or don't.Shanghai department of gynaecology and obstetrics experts draw lessons from foreign mature case,Take the lead in the radio frequency ablation for reducing fetal treatment,Ms. Zhang finally gave birth to a healthy baby.
上海市第一妇婴保健院11日披露,该院在中国大陆率先尝试规范使用射频消融技术开展单卵双胎的减胎治疗。在该院已实施的13例此类手术中,成功率为73.5%,接近西方发达国家水平。
Shanghai first penetration in the health care center 11 disclosure,The hospital in mainland China, were the first to try to regulate use radio frequency ablation technique in identical twins reducing fetal treatment.In the implementation of hospital has 13 cases such surgery,The success rate was 73.5%,Close to the level of the western developed countries.
上海市一妇婴院长段涛透露,该院牵头的“中国双胎协作网络”将在年底前正式启动。该网络将在华东地区先行后,逐步推向全国。他表示,该协作网络将真实与虚拟结合,统一人员培训、临床指南和网络内的转诊,并实现统一管理。目前,会诊、转诊系统正在建设中。
Shanghai a penetration in the dean DuanTao revealed,Hospital of lead"China twins cooperation network"By the end of the year will be officially launched.The network will be in the east China area after the first,Gradually extended to the whole country.He said,This collaboration network will be real and virtual combination,Unified personnel training/Clinical guidelines and network within the referral,And realize the unified management.At present,consultation/Referral system is under construction.
随着女性生育年龄增高以及辅助生殖技术的发展,双胎及多胎出生率越来越高,单卵双胎发生率亦有增加。单卵双胎出生缺陷和早产发生率高,且围产儿发病率及死亡率较高。
Along with the female reproductive age heighten and assisted reproductive technology development,Twins and multiplets birth rate is more and more high,Identical twins incidence rate has also increased.Identical twins premature birth defects and high incidence,And perinatal infants dead high morbidity and mortality.
不同于双卵双胎,单卵双胎中如果有一个胎儿被检查出状况异常,医生不能用传统的氯化钾减胎术为其治疗,因为共用一个胎盘的两个胎儿,存在血管吻合,一个胎儿死亡将对另一个胎儿造成严重影响。
Different from the double egg twins,Identical twins in if there is a fetus is check out status anomaly,The doctor can't use the traditional potassium chloride reduce fetal surgery for the treatment,Because share one placenta two fetus,Exist vascular anastomosis,A fetal deaths will to another serious effects on the fetus.
据介绍,射频消融技术已广泛应用于肝肿瘤、子宫肌瘤等治疗。妇产科医生运用该技术在超声引导下,将电极针置入胎儿体内血管,通过高热使发育异常胎儿的血管凝固性坏死,正常存活的胎儿则不受影响。这项技术的运用将使孕妈妈们不再面临两难抉择的折磨。
According to introducing,Radio frequency ablation technique has been widely used in liver tumor/The treatment such as uterine fibroids.In the department of obstetrics and gynecology doctors use this technology in under the guidance of ultrasound,Will electrode needle placement fetus blood vessels,Through the heat dysplasia fetal blood coagulation necrosis,Normal fetus survival is not affected.The use of this technology will make pregnant mothers faced no dilemma choice torture.
言及中国各地开展减胎手术现状,段涛认为不规范问题突出。他说,该院在实施射频消融减胎治疗前,在诊断和随访方面做了多年充分准备;实施每一例手术前,医生都将对母体和胎儿相关指征进行全面客观地评估。上海一妇婴胎儿医学部负责人孙路明说,目前,8例成功的射频消融减胎治疗中,有的一胎结构异常,有的是无心胎儿,还有的生长严重异常。
Advert to around China in reducing tire operation status,DuanTao think not regulate problems.He said,The hospital in the implementation of radio frequency ablation reduce tire before treatment,In the diagnosis and follow-up the preparation for many years;Implementation of each case before surgery,The doctor will be on maternal and fetal relevant indications to conduct a comprehensive objective evaluation.Shanghai a fetus in penetration in the medical department LuMing sun said,At present,8 cases of successful radio frequency ablation reduce fetal treatment,Some one foetus structure anomaly,Have a plenty of a fetus,And growth serious abnormal.
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