N Haidu reporter Hu Tingting correspondent Lin Hao Lin Manjun
Ms. Su (pseudonym), 23 years old from Putian, was pregnant with twins for more than 18 weeks, and in mid-March, one of the twins was found to have stopped developing in the local hospital, and then transferred to the Fujian Provincial Maternal and Child Health Hospital, which successfully performed radiofrequency ablation and detenation for one of the twins pregnant by the patient, the heartless teratology, and the current pregnant women and normal fetuses are in good condition.
It is reported that this is the first time that medical institutions in the province have independently completed the difficult twin radiofrequency reduction, marking a new breakthrough in the level of intrauterine treatment of fetuses in our province, and providing a new treatment path for complex single choriotropic twin reduction.
A 23-year-old young woman who had a fetal examination revealed that one of the twins had no heart deformity
Ms. Su went to the Medical Genetic Diagnosis and Treatment Center of the Provincial Maternal and Child Health Hospital to recheck the color ultrasound, and the examination suggested that one of the twins had no head and no heart, a single umbilical artery, and the umbilical artery blood flow was reversed, which was in line with the double fetal reverse arterial perfusion sequence sign (TRAPs). Lin Na, chief physician of the fetal intrauterine treatment group of the center, as the head of the intrauterine treatment group, immediately received this difficult twin case and submitted it to the multidisciplinary expert group for consultation.
Chief physician Lin Na said that one of the twins is heartless malformation, also known as twin reversed arterialperfusion sequence (TRAP), the incidence of this disease is only 1/35000, but the harm is very large, in which the abnormal development of the fetus has no heart or a functioning heart, accompanied by a series of dysplasia malformations, its blood circulation is completely dependent on the well-developed fetus supply, This can lead to serious complications such as heart failure, premature birth, and even intrauterine fetal death in a well-developed fetus.
Ms. Su, who learned of the diagnosis, was frightened. Chief Physician Lin Na patiently told Ms. Su about her condition and diagnosis and treatment plan, Ms. Su gradually calmed down, understood the diagnosis and treatment plan and related risks, learned that the choice of radiofrequency ablation and fetal reduction, minus headless and heartless fetus, can ensure the development of normal fetus, Ms. Su and her family decided to operate.
Professor Sun Luming remote guidance screen
Smooth implementation of surgery Shanghai expert 5G cloud guidance
Before the operation, Xu Liangpu, the discipline leader of the Medical Genetics Diagnosis and Treatment Center, contacted the special expert of the center, Professor Sun Luming of Shanghai First Maternal and Child Health Hospital. Due to the impact of the epidemic, Professor Sun could not come to the scene for guidance, and the two sides decided to use the 5G + artificial intelligence new technology platform to complete the remote "cloud guidance" surgery through remote ultrasound real-time image transmission and barrier-free communication throughout the process.
During the operation, under the guidance of Professor Sun, the chief surgeon guided the puncture by ultrasound, and placed the radiofrequency ablation electrode with a diameter of about 2 mm into the fetal abdomen (below the root of the umbilical cord), and through radiofrequency ablation, the blood flow in the umbilical vessel coagulated, blocking the fetal blood, so as to achieve the purpose of fetal reduction. Compared with traditional injection sclerotherapy, fetal mirror intrauterine cord ligation, bipolar electrocoagulation, etc., this technology has the advantages of being minimally invasive, safe and reliable, and can effectively improve the birth quality of the fetus. In this difficult twin birth reduction surgery, there is a "5G+" remote cloud guidance technology, the operation is very smooth, and the current pregnant women and normal fetuses are in good condition.
Director Xu Liangpu, the discipline leader of the Medical Genetics Diagnosis and Treatment Center, said: "This operation marks a new breakthrough in the level of intrauterine fetal treatment in our hospital, and provides a new treatment path for complex monochorionic twins." At present, Fujian Provincial Maternal and Child Health Hospital is the only unit in the province to join the "China Fetal Intrauterine Treatment Collaboration Network", which is leading in the province and has reached the advanced level in China, and also marks the further improvement and development of fetal intrauterine treatment technology in our province!
Fujian Provincial Maternal and Child Health Hospital Medical Genetic Diagnosis and Treatment Center Fetal Intrauterine Treatment Outpatient Clinic:
Chief Physician Lin Na: Every Monday 2:30-5:30pm (daylight saving time) 2:00-5:00 (winter time)
Chief Physician He Deqin: Every Wednesday from 8:00 a.m. to 12:00 p.m
EDIT: White