Diagnosis and Management of Twin-Twin Transfusion Syndrome

作者：Johnson Anthony^*

来源：Clinical Obstetrics and Gynecology, 2015, 58(3): 611-631.

DOI：10.1097/GRF.0000000000000128

• twin-twin transfusion syndrome
• laser ablation
• monochorionic

Twin-twin transfusion syndrome (TTTS) affects 10% to 15% of monochorionic pregnancies. In the absences of timely diagnosis and intervention perinatal loss or long term developmental delay can be expected in over 90% of cases. Establishing chorionicity in the first trimester followed by serial ultrasounds beginning at 16 weeks of gestation and intervention with placental laser ablation before the development of advance disease overall survival rates can be expected in 70% to 80% of cases.

• 出版日期2015-9