Prenatal ultrasound application in diagnosis and treatment of twin reverse arterial perfusion syndrome
10.3321/j.issn:1003-3289.2009.10.033
- VernacularTitle:产前超声在双胎反向动脉灌注综合征诊疗中的应用
- Author:
Xiping TAN
;
Huifang WANG
;
Zhiyang HU
;
Qi LIN
;
Cheng FENG
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
prenatal;
Twins;
Twin reversed arterial perfusion syndrome
- From:
Chinese Journal of Medical Imaging Technology
2009;25(10):1849-1852
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of prenatal ultrasound in diagnosis and treatment of twin reverse arterial perfusion (TRAP) syndrome. Methods A retrospective study was performed in 5 TRAP cases, including ultrasound images, clinical data and pregnancy outcomes. The sonographic characteristics were summarized. Results Five TRAP cases were diagnosed during 13 to 28 weeks' gestation and confirmed after birth. Color Doppler unltrasonography revealed retrograde umbilical artery perfusion towards acardiac twin. Two of 5 cases ended up in induced abortion, 1 in spontaneous abortion, 1 was delivered at 37 weeks' gestation after ultrasound-guided feticide of the acardiac twin and 1 was monitored closely with ultrasound and delivered alive at 32~(+4) weeks' gestation. Conclusion Prenatal ultrasonography has great applicative value for TRAP syndrome in early diagnosis, choosing optimal treatment and prognosis assessment.
