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태아 수흉, 복수와 폐쇄성 요로병증을 위한 자궁내 단락술 : 7예 검토

Other Titles
 In Utero Shunting for Fetal Hydrothorax, Ascites and Obstructive Uropathy: A Review of 7 Cases 
Authors
 이국  ;  양정인  ;  김석영  ;  이병석  ;  박민수  ;  이철  ;  최승훈  ;  최승강 
Citation
 Korean Journal of Perinatology (대한주산의학회잡지), Vol.15(4) : 379-387, 2004 
Journal Title
 Korean Journal of Perinatology (대한주산의학회잡지) 
ISSN
 1229-2605 
Issue Date
2004
Keywords
In utero shunting ; Hydrothorax ; Ascites ; Obstructive uropathy ; Fetus
Abstract
Objective : To evaluate the value of intrauterine shunting and to investigate the complication and outcome of these procedures for different fetal indications. Methods : 7 fetuses who underwent 13 intrauterine catheter shunting from 1992 to 1997 were reviwed. The indications were uni-or bilateral hydrothorax in 4 cases, ascites in one case, and obstructive uropathy in 2 cases. Results : Catheter migration occurred 6 times out of the 13 shunts (46%). Procedure related death rate was 23% (3/13); within 48 hours of pleuroamniotic shunting, amniorrhexis and coincidental abruptio placenta resulting in one fetal death and each one of amniorrhexis and premature labor resulting in 2 neonatal deaths. Pregnancy was terminated after shunting in one case of urethral atresia. Postnatal survival rate was 50% (3/6). Conclusion : A high complication rate requires the selection of cases for shunting. A large prospective controlled trial is needed to determine its value.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Min Soo(박민수) ORCID logo https://orcid.org/0000-0002-4395-9938
Lee, Kook(이국)
Lee, Byung Seok(이병석) ORCID logo https://orcid.org/0000-0001-6001-2079
Lee, Chul(이철)
Choi, Seung Kang(최승강)
Choi, Seung Hoon(최승훈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112341
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