国际生殖健康/计划生育杂志2024,Vol.43Issue(1):24-27,4.DOI:10.12280/gjszjk.20230208
辅助生殖技术助孕后三胎合并双胎反向动脉灌注序列征一例并文献复习
Triplet Pregnancy Complicated by Twin Reversed Arterial Perfusion Sequence after Assisted Reproductive Technology:A Case Report and Literature Review
摘要
Abstract
Twin reversed arterial perfusion sequence(TRAPS)is a rare and severe complication of monochorionic twin pregnancies,due to abnormal placental-fetal vascular anastomosis,which is characterized by absence of heart or loss of normal cardiac structure in one twin.We reported a case of triplet pregnancy complicated by TRAPS after assisted reproductive technology.Two cleavage-stage frozen embryos were transferred,one of which developed into monochorionic twin pregnology.The TRAPS was diagnosed by ultrasound at 8+5 weeks.However,due to personal factors,the patient did not intervene in a timely manner and the pump twin died.Another single fetus developed normally until full term delivery.If the treatment is needed,as for the technique of choice to interrupt the vascular supply to the acardiac twin,the radiofrequency ablation of the intrafetal vessel is usually the preferred approach.However,the best timing of intervention is still debated.关键词
生殖技术,辅助/双胎,单卵/妊娠,三胎/双胎反向动脉灌注序列征/诊断/治疗Key words
Reproductive techniques,assisted/Twins,monozygotic/Pregnancy,triplet/Twin reversed arterial perfusion sequence/Diagnosis/Therapy引用本文复制引用
李婷婷,谭小方,施蔚虹..辅助生殖技术助孕后三胎合并双胎反向动脉灌注序列征一例并文献复习[J].国际生殖健康/计划生育杂志,2024,43(1):24-27,4.基金项目
南通大学临床医学专项青年项目(2022LQ007) (2022LQ007)