胎儿镜术后常见并发症包括出血、未足月胎膜早破、感染、流产和早产、TTTS复发及TAPS、羊膜束带综合征及镜像综合征。
胎儿镜手术属于宫内干预治疗，术后可能并发感染及诱发宫缩，术中及术后常规应用预防感染及抑制宫缩药物，患者出院后若腹痛加剧或体温持续升高应及时就医。
胎儿镜术后第1天复查胎儿超声。术后1周，病情稳定后每周门诊复查超声，并监测有无并发症的发生。若病情好转超声检查间隔可延长至两周 ，并监测患者一般情况，严密监测患者有无血压升高、周身水肿、呼吸困难等症状。
[1]Snowise, S., Mann, L. K., Moise, K. J., Johnson, A., Bebbington, M. W., & Papanna, R. (2017). Preterm prelabor rupture of membranes after fetoscopic laser surgery for twin-twin transfusion syndrome. Ultrasound in Obstetrics & Gynecology, 49(5), 607–611.
[2]Donepudi, R., Akkermans, J., Mann, L., et al. (2017). Recurrent Twin-Twin Transfusion Syndrome (rTTTS) and Twin Anemia Polycythemia Sequence (TAPS) after fetoscopic laser surgery (FLS): size (of the cannula) does matter. Ultrasound in Obstetrics & Gynecology.
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作者：李闯 |
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