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中华妇幼临床医学杂志(电子版)

中华妇幼临床医学杂志(电子版) ›› 2016, Vol. 12 ›› Issue (03) : 364 -368. doi: 10.3877/cma.j.issn.1673-5250.2016.03.021

所属专题： 文献；

综述

胎儿镜手术的麻醉研究进展
黄伟1   
  1. 1. 610041　成都，四川大学华西第二医院麻醉科、出生缺陷与相关妇儿疾病教育部重点实验室
  • 收稿日期:2016-02-06 修回日期:2016-05-10 出版日期:2016-06-01

Research progress of anesthesia for fetoscopic surgery

Wei Huang1   

  1. 1. Department of Anesthesiology, West China Second University Hospital, Sichuan University, China Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu 610041, Sichuan Province, China
  • Received:2016-02-06 Revised:2016-05-10 Published:2016-06-01
  • About author:
    Corresponding author: Luo Dong, Email:
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黄伟. 胎儿镜手术的麻醉研究进展[J]. 中华妇幼临床医学杂志(电子版), 2016, 12(03): 364-368.

Wei Huang. Research progress of anesthesia for fetoscopic surgery[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2016, 12(03): 364-368.

胎儿镜手术是临床开展最为广泛的胎儿手术，其麻醉涉及母体和胎儿。因此，胎儿镜手术麻醉不同于一般的产科手术麻醉和儿科手术麻醉。妊娠期孕妇生理和解剖结构的改变、胎儿器官功能发育不成熟等问题，给胎儿镜手术麻醉带来极大挑战。笔者拟就胎儿镜手术的母体及胎儿麻醉相关研究进展进行综述，旨在为胎儿镜手术麻醉提供参考。

关键词: 胎儿镜检查, 麻醉，胎儿, 麻醉，产科

Fetoscopy is an endoscopic procedure during pregnancy to allow access to the fetus, the amniotic cavity, the umbilical cord, and the fetal side of the placenta. Fetoscopy has evolved into a mainstream intervention of fetal therapy. Anesthesia for fetoscopy is related to both maternal and fetal, so it differs from the general obstetric anesthesia and pediatric anesthesia. The physiologic and anatomic changes of pregnancy, immature organ function of fetal etc. bring great challenges to anesthesia for fetoscopy. This paper focuses on the research progress of maternal and fetal anesthesia for fetoscopy, aimed at providing references for the application of anesthesia for fetoscopy surgery.

Key words: Fetoscopy, Anesthesia, fetal, Anesthesia, obstetric
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