胎儿镜与膀胱羊膜腔分流术在胎儿下尿路梗阻中的运用对比

doi:10.19558/j.cnki.10-1020/r.2021.03.012

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摘要下尿路梗阻(LUTO)是指因膀胱下方机械性或功能性梗阻而导致胎儿排尿不全或缺乏排尿的先天性畸形,发病率为2~3/10 000。LUTO可导致胎儿肺发育不全和肾功能不全,严重影响围产期胎儿的存活率。当前临床上治疗LUTO的措施主要有胎儿镜和膀胱羊膜腔分流术。现将胎儿镜与膀胱羊膜腔分流术在远期肾功能状况、技术的实施以及并发症方面进行比较,探讨胎儿镜在当前LUTO的诊治方面的优势和不足。

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	朱炜玮
	周辉霞
	李品

关键词 ：胎儿镜, 胎儿下尿路梗阻, 膀胱羊膜腔分流术

Abstract：Lower urinary tract obstruction （LUTO） refers to a kind of congenital malformation caused by fetal insufficiency or lack of urination due to mechanical or functional obstruction below the bladder, of which the incidence is 2-3/10 000. LUTO can cause fetal pulmonary hypoplasia and renal dysfunction, which seriously affects fetal survival during perinatal period. The main current clinical measures as the treatment of LUTO are fetal cystoscopy and vesico-amniotic shunting. By comparing fetal cystoscopy and vesico-amniotic shunting in the long-term renal function, the implementation of technology and the complications, this article will highlight the pros and cons of fetal cystoscopy in the current diagnosis and treatment of LUTO.

Key words： fetal cystoscopy fetal lower urinary tract obstruction vesico-amniotic shunting

收稿日期: 2020-03-07

通讯作者: 周辉霞,huixia99999@163.com

作者简介: ^△审校者

引用本文:

朱炜玮, 周辉霞, 李品. 胎儿镜与膀胱羊膜腔分流术在胎儿下尿路梗阻中的运用对比[J]. 微创泌尿外科杂志, 2021, 10(3): 210-216.
ZHU Weiwei, ZHOU Huixia, LI Pin. Comparison of fetal cystoscopy vs. vesico-amniotic shunting in the application of fetal lower urinary tract obstruction. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(3): 210-216.

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