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

無心体双胎（TRAP sequence）

著者： 利光正岳¹ 室月淳¹

所属機関： ¹宮城県立こども病院産科

ページ範囲：P.557 - P.561

文献概要

●TRAP sequenceは無治療での経過観察の場合，Pump児の予後は不良である．

●ラジオ波凝固術（RFA）は母児にとって低侵襲な根本的治療であり，良好な治療成績を認める胎児治療である．

●TRAP sequenceのなかでも，一羊膜やRFA可能な週数前にPump児死亡に至る群への新たな治療方法の確立が期待される．

参考文献

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