臨床婦人科産科76巻9号

2022年09月発行

今月の臨床 胎児発育のすべて―FGRから巨大児まで

原因からみた胎児発育の異常

FGRと臍帯の異常

著者： 古谷菜摘¹

所属機関： ¹聖マリアンナ医科大学産婦人科学

ページ範囲：P.861 - P.868

文献概要

●胎盤の病理学的分類として母体側の灌流障害が原因のmaternal vascular malperfusion（MVM）と胎児側の灌流障害によるfetal vascular malperfusion（FVM）などがある．

●胎児発育不全（FGR）の原因として臍帯過捻転などの臍帯異常があり，そのような場合では臍帯血流のうっ滞のためFVMとなる．

●臍帯異常によるFGRは，他の原因のFGRの妊娠・分娩管理に加えて，予測の難しい急激な胎児死亡，長期予後の悪化を踏まえた管理が必要である．

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