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Thoracoamniotic shunting for fetal pleural effusions with hydrops.

Abstract：

OBJECTIVE:The purpose of this study was to evaluate perinatal outcome after thoracoamniotic shunting for fetal pleural effusions with hydrops. STUDY DESIGN:This was a retrospective study. RESULTS:Shunting was performed immediately after diagnosis and was successful in all 54 of the cases that were attempted. There were 7 pregnancy terminations, 9 in utero deaths, and 38 live births, of which 7 children died in the neonatal period and 31 children survived. Among the liveborn infants, 27 infants were delivered preterm (71%), of whom 7 infants (15%) had preterm premature rupture of membranes and 4 infants (8.5%) had chorioamnionitis. Perinatal death (23/54 infants; 43%) was related to underlying anomalies (7 cases), pulmonary hypoplasia (5 cases), chorioamnionitis (2 cases), or treatment failure for unknown reasons (9 cases). All 31 survivors had chylothorax; for 28 of the survivors, the chylothorax was primary, and for 3 survivors, the chylothorax was the result of right congenital diaphragmatic hernia, pulmonary sequestration, or Noonan syndrome. CONCLUSION:After the shunting, pleural effusion with hydrops has a 57% survival rate; premature delivery is the leading source of morbidity.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Picone O,Benachi A,Mandelbrot L,Ruano R,Dumez Y,Dommergues M

doi

10.1016/j.ajog.2004.05.016

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

2047-50

issue

6

eissn

0002-9378

issn

1097-6868

pii

S0002937804004855

journal_volume

191

pub_type

杂志文章

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