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대한산부인과초음파학회지 제14권 제3호 2012년
증례보고


단일 융모막성 쌍태임신에서의 선택적 중절술을 위한 고주파 열치료 증례 4예

관동대학교 의과대학 제일병원 산부인과
안계형⋅류현미⋅김문영⋅한정열⋅안현경⋅김민형⋅이시원⋅한유정⋅채용화⋅정진훈


Case Series of Radiofrequency Ablation for Selective Reduction in a Monochorionic Twin Pregnancy

Gye Hyeong An, Hyun Mee Ryu, Moon Young Kim, Jung Yeol Han, Hyun Kyeong Ahn, Min Hyoung Kim, Si Won Lee, You Jung Han, Yong Hwa Chae, Jin Hoon Chung,
Department of Obstetrics & Gynecology, Cheil General Hospital and Women’s Healthcare Center,Kwandong University College of Medicine, Seoul, Korea

In monochorionic placenta, there are various vascular anastomoses (arterial-arterial, arterial-venous and venous-venous) that are responsible for twin‐to‐twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR) and discordance for structural or chromosomal anomalies. Because of these unique conditions, some of monochorinoic pregnancies require selective fetal reduction as vaso‐occlusive procedures to ablate blood flow in the selected fetus. We report cases in which radiofrequency ablation was used for selective feticide in monochorionic twin with discordant for an abnormality, TTTS and sIUGR.

  • Key Word : Radiofrequency ablation, Monochorionic twins, Selective termination
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