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胎儿外科手术纠正部分胎儿结构性畸形已从临床研究逐步进入临床应用。多数手术以改善胎儿脏器机能为目的。国外已有从动物实验发展到人类胎儿手术成功的报道。国内有数篇动物手术模型建立的报道,尚无动物胎仔疾病治疗和人类胎儿手术操作的报道。综述近年胎儿镜下微创手术的发展,胎儿宫内手术所涉及的母儿安全问题,目前研究应用较多的是先天性横膈疝、畸胎瘤、先天性腺瘤样增生、泌尿道梗阻等。
Fetal surgery to correct part of fetal structural deformity from clinical research has gradually entered clinical application. Most of the surgery to improve fetal organ function for the purpose. Abroad has been from animal experiments to the success of human fetal surgery reports. There are several reports of establishment of animal models in China and there is no report about the treatment of animal fetal diseases and the operation of human fetuses. In recent years, the development of minimally invasive surgery under fetal microscopy and maternal and child safety issues related to intrauterine surgery have been reviewed. At present, more studies are focused on congenital diaphragmatic hernia, teratoma, congenital adenomatous hyperplasia and urinary tract obstruction.