Feasibility of fetoscopic laser coagulation in triplet pregnancy.

IF 2 Q2 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology Science Pub Date : 2023-09-01 Epub Date: 2023-07-26 DOI:10.5468/ogs.23111

You Mi Hong, Hye-Sung Won, Ah Hyun Lee, Mi-Young Lee

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引用次数: 0

Abstract

Objective: To report the experiences of triplet pregnancies complicated by twin-to-twin transfusion syndrome (TTTS) treated with fetoscopic laser coagulation at a single center.

Methods: Herein, we conducted a retrospective analysis to investigate the management and perinatal outcomes of triplet pregnancies with TTTS treated at a single institution between 2017 and 2022.

Results: Seven of the 98 triplet pregnancies (7.1%) encountered were complicated by TTTS, and all were dichorionic triamniotic triplets. Of the seven triplet pregnancies complicated by TTTS, four were treated with fetoscopic laser coagulation at our center, at a median gestational age of 20 weeks. No procedure-related complications or maternal complications were observed. The survival rate was higher and perinatal outcomes were better in fetoscopic laser coagulation cases than in other management cases. Four donor and four recipient triplets survived, with a median gestational age of 33 weeks at delivery. Although there were no cases of poor neonatal outcomes, one case was diagnosed with white matter injury, suspected to be hypoxic-ischemic encephalopathy on postnatal investigation.

Conclusion: Fetoscopic laser coagulation is a feasible treatment option for triplet TTTS, provided the attending specialists have extensive experience with this technique.

Abstract Image

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胎儿镜激光凝固治疗三胎妊娠的可行性。

目的：报告单中心激光凝固治疗三胎妊娠合并双胎输血综合征（TTTS）的经验。方法：在本文中，我们进行了一项回顾性分析，以调查2017年至2022年间在单一机构接受TTTS治疗的三胞胎妊娠的管理和围产期结果。结果：98例三胞胎中有7例（7.1%）合并TTTS，均为二型三胞胎。在7例合并TTTS的三胞胎妊娠中，有4例在我们的中心接受了胎儿镜激光凝固治疗，中位胎龄为20周。未观察到与手术相关的并发症或母体并发症。与其他治疗病例相比，胎儿镜激光凝固病例的存活率更高，围产期结局更好。四个供体和四个受体三胞胎存活下来，分娩时的中位胎龄为33周。尽管没有新生儿预后不良的病例，但有一例在产后调查中被诊断为白质损伤，疑似缺氧缺血性脑病。结论：如果主治专家对该技术有丰富的经验，胎儿激光凝固是治疗三重TTTS的可行选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics and Gynecology Science Medicine-Obstetrics and Gynecology

CiteScore

3.80

自引率

15.80%

发文量

审稿时长

16 weeks

期刊介绍： Obstetrics & Gynecology Science (NLM title: Obstet Gynecol Sci) is an international peer-review journal that published basic, translational, clinical research, and clinical practice guideline to promote women’s health and prevent obstetric and gynecologic disorders. The journal has an international editorial board and is published in English on the 15th day of every other month. Submitted manuscripts should not contain previously published material and should not be under consideration for publication elsewhere. The journal has been publishing articles since 1958. The aim of the journal is to publish original articles, reviews, case reports, short communications, letters to the editor, and video articles that have the potential to change the practices in women''s health care. The journal’s main focus is the diagnosis, treatment, prediction, and prevention of obstetric and gynecologic disorders. Because the life expectancy of Korean and Asian women is increasing, the journal''s editors are particularly interested in the health of elderly women in these population groups. The journal also publishes articles about reproductive biology, stem cell research, and artificial intelligence research for women; additionally, it provides insights into the physiology and mechanisms of obstetric and gynecologic diseases.