胎儿介入:介入放射学的欠发达领域

Rajaram Sharma, H. Thakkar, Rinkey Baisoya, Tapendra Nath Tiwari
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引用次数: 0

摘要

介入放射学(IR)在通过微创外科手术诊断和治疗各种先天性疾病方面发挥了重要作用。红外的替代治疗是许多程序,一旦开放手术是必要的。红外程序可以在数字放射照相(x射线),超声,磁共振成像(MRI)或计算机断层扫描(CT)下进行。事实证明,红外成像技术提高了效率,因为医学成像技术给放射科医生提供了高可见度,降低了微创手术的风险,节省了住院时间,减少了小切口手术的痛苦。由于恢复时间较短,患者可以更早地恢复日常生活。逐步发展的产前干预和手术可能是由于快速成像技术的进步和产前诊断在过去的几十年里。快速的先进技术已成为管理高危妊娠的一个组成部分。除此之外,数字光学和小型化仪器的快速发展使得胎儿镜检查成为现实。随着成像技术的提高,在产前,先天性缺陷和胎儿畸形的识别增加。了解如何治疗特定的胎儿状况可以改善这些治疗方式的结果。我们提供了一个评估,开始与胎儿手术的清晰背景,包括历史,伦理胎儿手术,并考虑处理胎儿干预期间的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fetal intervention: Less developed field of interventional radiology
Interventional radiology (IR) has played an essential role in diagnosing and treating various intra natal entities with minimally invasive surgical procedures. IR treatment is the substitute to the many procedures in which once open surgery was needed. IR procedure can be performed under Digital Radiography (x-ray), Ultrasound, Magnetic Resonance Imaging (MRI) or Computed Tomography (CT). IR has proved to increase effectiveness as medical imaging technology gives radiologists high visibility, reduces risk as surgery performed are minimally invasive, saves time as there is a short hospital stay, and reduces the pain as procedures are performed with a small incision. Because of quicker recovery time, patients can get back to their daily routine early. Progressive development of prenatal intervention and surgeries was possible due to rapid advances in imaging techniques and prenatal diagnosis over the last few decades. Rapid advanced techniques have become an integral part of managing high-risk pregnancies. In addition to this, the rapidly growing capability of digital optics and miniaturized instrumentation has now allowed fetoscopic procedures to become a reality. With improved imaging techniques, the identification of congenital defects and fetal malformations increases during the antenatal period. Understanding how to treat specific fetal conditions improves outcomes from these treatment modalities. We provide an assessment that begins with a crisp background of fetal surgery, including the history, ethics surrounding fetal surgery, and considerations of dealing with the problems during the fetal intervention.
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