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目的探讨双胎输血综合征的发病机制、诊断及治疗的新进展。方法结果目前关于双胎输血综合征的发病机制尚无统一结论;该病诊断及分级的主要手段为孕期彩色超声多普勒检查;其早期诊断及早期治疗对预后的改善有重要意义;目前主要治疗手段有羊水减量、激光凝固胎盘吻合血管等方法,各方法的优缺点及并发症尚在研究之中。结论双胎输血综合征是双胎妊娠的严重并发症,其发病机制尚未完全明确,早期诊断及治疗对预后的改善尤为重要,各种治疗方法仍有待继续研究。
Objective To explore the pathogenesis, diagnosis and treatment of twins transfusion syndrome. Methods Results There is no unified conclusion about the pathogenesis of twins syndrome at present. The main means of diagnosis and grading of the disease is color Doppler ultrasound examination during pregnancy. Early diagnosis and early treatment are of great significance to prognosis improvement. There are methods of treatment of amniotic fluid reduction, laser coagulation placenta accreta method, the advantages and disadvantages of each method and complications are still under study. Conclusion Twin twin transfusion syndrome is a serious complication of twin pregnancy. The pathogenesis of twin twin transfusion syndrome is not yet fully understood. Early diagnosis and treatment are particularly important for the prognosis. Various treatments are yet to be further studied.