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Акушерство и Гинекология Санкт-Петербурга

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Специфические осложнения монохориального многоплодия – фето-фетальный трансфузионный синдром и синдром анемииполицитемии

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Аннотация

Фето-фетальный трансфузионный синдром и синдром анемииполицитемии – тяжелые осложнения монохориального многоплодия, связанные с васкулярными анастомозами плаценты, сопровождающиеся высокими перинатальными потерями при отсутствии лечения. В данном обзоре представлены различия в патофизиологии и лечении этих состояний. Оптимальным лечением фето-фетального трансфузионного синдрома является фетоскопическая лазерная коагуляция анастомозов плаценты. Оптимальное лечение синдрома анемии-полицитемии до сих пор неизвестно, применяется выжидательная тактика, внутриматочные переливания крови и фетоскопическая лазерная хирургия.

Об авторах

А. В. Михайлов
Родильный дом № 17; ПСПбГМУ им. акад. И.П. Павлова; СЗГМУ им. И.И. Мечникова
Россия

Михайлов Антон Валерьевич, доктор медицинских наук, главный врач родильного дома № 17; профессор кафедры акушерства, гинекологии и репродуктологии ФГБОУ ВО «СЗГМУ им. И.И. Мечникова» Минздрава России; профессор кафедры акушерства, гинекологии и репродуктологии ПСПбГМУ им. акад. И.П. Павлова

ул. Леснозаводская, д. 4 корп. 1, Санкт-Петербург, 192174, Пискаревский проспект, д. 47, Санкт-Петербург, 195067, ул. Льва Толстого, д. 6–8, Санкт-Петербург, 197022



А. Н. Романовский
Родильный дом № 17; СЗГМУ им. И.И. Мечникова; СПбГУ
Россия

Романовский Артем Николаевич, врач акушер-гинеколог, врач ультразвуковой диагностики, врач пренатальной диагностики родильного дома № 17; аспирант кафедры акушерства и гинекологии им. С.Н. Давыдова ФГБОУ ВО «СЗГМУ им. И.И. Мечникова» Минздрава России; ассистент кафедры акушерства, гинекологии и репродуктологии СПбГУ, ВО

ул. Леснозаводская, д.4, корп. 1, Санкт-Петербург, 192174, Пискаревский проспект, д. 47, Санкт-Петербург, 19506721 линия, д. 8а, Санкт-Петербург, 199004



А. В. Шлыкова
Родильный дом № 17; СЗГМУ им. И.И. Мечникова
Россия

Шлыкова Анна Вячеславовна, врач акушер-гинеколог, врач ультразвуковой диагностики родильного дома № 17; аспирант кафедры акушерства и гинекологии им. С.Н. Давыдова ФГБОУ ВО «СЗГМУ им. И.И. Мечникова» Минздрава России

ул. Леснозаводская, д. 4, корп. 1, Санкт-Петербург, 192174, Пискаревский проспект, д. 47, Санкт-Петербург, 195067


А. А. Кузнецов
Родильный дом № 17; ПСПбГМУ им. акад. И.П. Павлова
Россия

Кузнецов Александр Алесандрович, врач акушер-гинеколог родильного дома № 17; аспирант кафедры акушерства, гинекологии и неонатологии ПСПбГМУ им. акад. И.П. Павлова

ул. Леснозаводская, д.4, корп.1, Санкт-Петербург, 192174, ул. Льва Толстого, д. 6–8, Санкт-Петербург, 197022



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Для цитирования:


Михайлов А.В., Романовский А.Н., Шлыкова А.В., Кузнецов А.А. Специфические осложнения монохориального многоплодия – фето-фетальный трансфузионный синдром и синдром анемииполицитемии. Акушерство и Гинекология Санкт-Петербурга. 2017;(2):18-23.

For citation:


Mikhailov A.V., Romanovsky A.N., Shlykova A.V., Kuznetsov A.A. Specific complications of monochorionic pregnancy – twin-to-twin transfusion and twin anemia-polycythemia syndromes. Obstetrics and Gynaecology of Saint-Petersburg. 2017;(2):18-23. (In Russ.)

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