[Outcomes of severe primary fetal hydrothorax treated by prenatal intervention].
Zhonghua Fu Chan Ke Za Zhi
; 53(8): 522-527, 2018 Aug 25.
Article
em Zh
| MEDLINE
| ID: mdl-30138961
ABSTRACT
Objective:
To investigate the effect of intrauterine intervention on severe primary fetal hydrothorax.Methods:
Twelve cases with severe fetal primary hydrothorax who underwent prenatal intervention from January 2014 to December 2017 in Guangdong Women and Children Hospital were retrospectively reviewed.Results:
The median gestational age of prenatal diagnosis was 30.8 weeks (24.0-33.0 weeks) . All cases were excluded congenital chromosomal abnormalities by prenatal diagnosis, and had no complications of pregnancy during prenatal diagnosis and had hydrothorax. Three cases (3/12) were right hydrothorax, the other 9 cases (9/12) were bilateral. Thoracoamniotic shunting was performed in 7 cases (7/12) . Thoracentesis was performed in 5 cases (5/12) , and the hydrothorax reappeared soon after operation in 4 cases, shunt placement was performed again. The hydrothorax was dissolved in 2 cases, released in 6 cases.Tube falling off occurred in 1 case,treatment was abandoned in 1 case and intrauterine fetal death happened in 1 case, and 1 case wasn't rechecked by ultrasonic due to premature birth following thoracentesis. In 10 cases who had deliveries, 5 newborns (5/10) were premature, 6 newborns (6/10) underwent assisted mechanical ventilation, 8 newborns (8/10) underwent thoracic close drainage, all of them were discharged when hydrothorax resolved.Conclusions:
Antenatal intervention may improve the chance of survival in severe primary fetal hydrothorax. Thoracoamniotic shunting is the first-choice for the primary severe fetal hydrothorax.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Cuidado Pré-Natal
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Diagnóstico Pré-Natal
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Procedimentos Cirúrgicos Obstétricos
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Quilotórax
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Doenças Fetais
Tipo de estudo:
Diagnostic_studies
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Observational_studies
Limite:
Female
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Humans
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Newborn
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Pregnancy
Idioma:
Zh
Revista:
Zhonghua Fu Chan Ke Za Zhi
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
China