Congenital diaphragmatic hernia: controversies and challenges of management from antenatal diagnosis, intervention to long-term follow-up
10.3760/cma.j.cn113903-20241125-00782
- VernacularTitle:先天性膈疝:从产前诊断、干预治疗到长期随访管理的争议与挑战
- Author:
Lishuang MA
1
Author Information
1. 首都儿科研究所附属儿童医院新生儿外科,北京 100020
- Publication Type:Journal Article
- Keywords:
Congenital diaphragmatic hernia;
Integrated model;
Prenatal assessment and intervention;
Perioperative management;
Minimally invasive surgery
- From:
Chinese Journal of Perinatal Medicine
2024;27(12):980-985
- CountryChina
- Language:Chinese
-
Abstract:
Congenital diaphragmatic hernia (CDH) is a developmental birth defect characterized by diaphragmatic deficiency and abnormal lung development. It is one of the leading causes of neonatal death or long-term complications. Although the management of CDH has been continuously updated and improved in recent years, some controversies and challenges remain. These include how to achieve precise and effective management throughout the process, the pros and cons of fetoscopic tracheal occlusion intervention techniques, optimal perioperative management measures, the advantages of minimally invasive procedures versus traditional open surgery, and the choice of surgical timing. This article will elaborate on the existing controversies and challenges based on the latest evidence in recent years.