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目的建立多学科合作模式,提高对胎儿肿瘤的认识、诊断和治疗水平,同时探讨产前诊断的重要性、必要性和可行性。方法建立由新生儿内、外科、妇产科、影像科、病理科、遗传学实验室等多学科组成的围产医学协作小组,对12例胎儿肿瘤患者实施合理的诊断和治疗,另选择同期、同病种入院的13例出生后确诊肿瘤患儿作为对照组,并以综合医院焦虑/抑郁情绪测定表于诊断初期及治疗前、后不同阶段评价患儿家属焦虑指数。结果两组的平均确诊年龄、转运率、平均手术准备时间、平均手术时间、家属焦虑指数比较差异有统计学意义(P<0.05)。产前诊断组优于产后诊断组。结论产前诊断的普及和多学科合作模式有利于提高胎儿肿瘤的产前诊断率、治疗成功率以及提高患儿的生活质量,同时有助于家属做好充分心理准备,减轻家属的焦虑感,符合现代医学模式转变的要求。
Objective To establish a multidisciplinary cooperation model to improve the understanding, diagnosis and treatment of fetal tumors, and to explore the importance, necessity and feasibility of prenatal diagnosis. Methods A perinatal medical collaborative team consisting of neonatal department of internal medicine, surgery, obstetrics and gynecology, imaging department, pathology department and genetics laboratory was established to carry out reasonable diagnosis and treatment of 12 cases of fetal tumor patients. , The same type of hospitalized 13 cases of children diagnosed with cancer after birth as a control group, and general hospital anxiety / depression determination table in the early diagnosis and treatment before and after different stages of evaluation of children with anxiety index. Results The mean age at diagnosis, transit rate, mean time to surgical preparation, mean operative time, anxiety index of relatives of the two groups were significantly different (P <0.05). Prenatal diagnosis group than postpartum diagnosis group. Conclusion The prenatal diagnosis of universal and multidisciplinary cooperation model is conducive to improve prenatal diagnosis of fetal tumors, the success rate of treatment and improve the quality of life of children, while helping families make adequate psychological preparation to reduce the anxiety of family members, In line with the requirements of the modern medical model changes.