中国实用妇科与产科杂志2025，Vol.41Issue(2)：138-141,4.DOI:10.19538/j.fk2025020103
单绒毛膜双羊膜囊双胎—胎畸形的临床咨询
Clinical consultation for discordant structural malformations in monochorionic diamniotic twins
摘要
Abstract
The management of monochorionic diamniotic(MCDA)twins is a challenge in perinatal medicine.Since the two fetuses share a single placenta,clinical consultation faces numerous challenges when one of the MCDA twins has discordant structural malformations.For such complex twins,referral to a fetal medical center with intrauterine treatment capabilities is necessary for consultation,follow-up and management.Individualized clinical counseling and management should be provided.The management plan should be formulated based on the type and severity of the malformations,as well as the impact on the other fetus.The principle of minimizing the impact on the healthy fetus and the mother should be followed;meanwhile the parents also be fully respected in making decisions.A personalized plan should be made to implement a sequential and integrated management model from the prenatal stage to through delivery and even to the neonatal period.关键词
双胎妊娠/单绒毛膜/双胎一胎畸形/临床咨询Key words
twin pregnancy/monochorionic/discor-dant structural malformations/clinical consultation分类
临床医学引用本文复制引用
杲丽,王彦林..单绒毛膜双羊膜囊双胎—胎畸形的临床咨询[J].中国实用妇科与产科杂志,2025,41(2):138-141,4.基金项目
国家重点研发计划(2023YFC2705901) （2023YFC2705901）
