典型文献
Selective Fetal Growth Restriction in Monochorionic Diamniotic Twins: Diagnosis and Management
文献摘要：
Selective fetal growth restriction (sFGR) is a severe condition that complicates 10% to 15% of all monochorionic diamniotic (MCDA) twin pregnancies. Pregnancies complicated with sFGR are at high risk of intrauterine demise or adverse perinatal outcome for the twins. Three clinical types have been described according to the umbilical artery (UA) Doppler pattern observed in the smaller twin: type I, when the UA Doppler is normal; type II, when there is persistent absent or reversed end-diastolic blood flow in the UA Doppler; and type III, when there is intermittent absent and/or reversed end-diastolic blood flow in the UA Doppler. Clinical evolution and management options mainly depend on the type of sFGR. Type I is usually associated with a good prognosis and is managed conservatively. There is no consensus on the management of types II and III, but in earlier and more severe presentations, fetal interventions such as selective laser photocoagulation of placental anastomoses or selective fetal cord occlusion of the smaller twin may be considered. This review aims to provide updated information about the diagnosis, evaluation, follow-up, and management of sFGR in MCDA twin pregnancies.
文献关键词：
Twins;Monochorionic diamniotic twins;Selective fetal growth restriction;Birthweight discordance;Fetal therapy;Placenta
中图分类号：
作者姓名：
Zumaeta Alicia Mazer;Gil María Mar;Rodríguez-Fernández Miguel;Carretero Pilar;Ochoa José Hector;Casanova María Cristina;Molina Francisca Sonia
作者机构：
Department of Obstetrics and Gynecology, Hospital Universitario Clínico San Cecilio, Granada 18016, Spain;Department of Obstetrics and Gynecology, Hospital Materno Provincial Dr. Raúl Felipe Lucini, Córdoba 5000, Argentina;Diagnus SA, Prenatal Diagnosis and Fetal Medicine Center, Córdoba 5000, Argentina;Obstetrics and Gynecology Department, Hospital Universitario de Torrejón, Torrejón de Ardoz 28223, Madrid, Spain;School of Medicine, Universidad Francisco de Vitoria, Pozuelo de Alarcón 28223, Madrid, Spain;Instituto de Investigación Biosanitaria Ibs.GRANADA., Granada 18016, Spain
文献出处：
引用格式：
[1]Zumaeta Alicia Mazer;Gil María Mar;Rodríguez-Fernández Miguel;Carretero Pilar;Ochoa José Hector;Casanova María Cristina;Molina Francisca Sonia-.Selective Fetal Growth Restriction in Monochorionic Diamniotic Twins: Diagnosis and Management)[J].母胎医学杂志（英文）,2022(04):268-275
A类：
Monochorionic,Diamniotic,sFGR,Pregnancies,anastomoses,Birthweight
B类：
Selective,Fetal,Growth,Restriction,Twins,Diagnosis,Management,fetal,growth,restriction,severe,condition,that,complicates,monochorionic,diamniotic,MCDA,pregnancies,complicated,are,high,risk,intrauterine,demise,adverse,perinatal,outcome,twins,Three,clinical,types,have,been,described,according,umbilical,artery,UA,Doppler,pattern,observed,smaller,when,normal,there,persistent,absent,reversed,diastolic,blood,flow,III,intermittent,Clinical,evolution,management,options,mainly,depend,Type,usually,associated,good,prognosis,managed,conservatively,There,consensus,but,earlier,more,presentations,interventions,such,selective,laser,photocoagulation,placental,occlusion,may,considered,This,review,aims,provide,updated,information,about,diagnosis,evaluation,follow,discordance,therapy,Placenta
AB值：
0.50408
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