臨床婦人科産科73巻6号

2019年06月発行

今月の臨床 多胎管理のここがポイント―TTTSとその周辺 TTTS類縁疾患の診断と管理

双胎貧血多血症（TAPS）

著者： 田丸俊輔¹

所属機関： ¹埼玉医科大学産科婦人科

ページ範囲：P.547 - P.551

●双胎貧血多血症（TAPS）の出生前における診断には，双胎両児の中大脳動脈収縮期最高血流速度（MCA-PSV）の評価が必須である．

●TAPSは羊水過多・過少を伴うTTTSとは病態が異なり，双胎両児間の緩徐な血流不均衡によって生じる疾患であり，診断基準に羊水量の不均衡は含まれない．

●MCA-PSVの測定が行われていない症例では，出生後に双胎両児の血液検査で初めてTAPSの診断に至る場合もあるため，一絨毛膜双胎では出生した児の血算評価が不可欠である．

参考文献

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