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摘要:
One in three monochorionic twins may develop complications during pregnancy. Monochorionic twins, especially monochorionic diamniotic (MCDA), present specific problems caused by the presence of interfetal placental anastomoses. The first critical step in the management of MCDA twins is identification in the first trimester. Secondly, close follow-up every 2 weeks is mandatory to allow early diagnosis and timely treatment of twin-twin transfusion syndrome. Other potentially severe complications include selective fetal growth restriction, twin anemia polycythemia syndrome or single fetal death. Thirdly, a correct differential diagnosis is critical to establish the best therapy. This may represent a clinical challenge since MCDA twin complications often overlap. A simple diagnostic algorithm may be of great help to establish the right diagnosis and management option. In this review we summarize the main steps for the clinical follow-up, differential diagnosis, and targeted management of MCDA twins complications.
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篇名 Complications of Monochorionic Diamniotic Twins: Stepwise Approach for Early Identification, Differential Diagnosis, and Clinical Management
来源期刊 母胎医学杂志(英文) 学科
关键词 Acute feto-fetal transfusion Discordant malformation Monochorionic diamniotic twin pregnancy Pregnancy, twin Selective fetal growth restriction Single intrauterine fetal death Twin anemia-polycythemia sequence Twin-twin transfusion syndrome
年,卷(期) 2021,(1) 所属期刊栏目 Review
研究方向 页码范围 42-52
页数 11页 分类号
字数 语种 中文
DOI 10.1097/FM9.0000000000000076
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研究主题发展历程
节点文献
Acute feto-fetal transfusion
Discordant malformation
Monochorionic diamniotic twin pregnancy
Pregnancy, twin
Selective fetal growth restriction
Single intrauterine fetal death
Twin anemia-polycythemia sequence
Twin-twin transfusion syndrome
研究起点
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研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
母胎医学杂志(英文)
季刊
2096-6954
10-1632/R
16开
北京西城区东河沿街69号303室
2019
chi
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122
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0
总被引数(次)
2
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